Individual provider · Type 1 NPI
Trent Jackman, PT
Geriatric Physical Therapist · Pocatello, ID
Practice location
Garrison Bldg 63, Room 202, Stop 8045
Pocatello, ID 83209-0001
Mailing address
Dept Of Physical Therapy Idaho State University, Stop 8045
Pocatello, ID 83209-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | PT-1236 (ID) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
About NPI 1053503193
Trent Jackman, PT's National Provider Identifier is 1053503193, issued on Aug 13, 2007. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Pocatello, ID. The record was last updated on Aug 13, 2007.