Individual provider · Type 1 NPI

Breanna S. Jackson

Physical Therapy Assistant · Kanab, UT

NPI number 1194505248 Active

Practice location

355 N Main St Ste 103
Kanab, UT 84741-3260

Mailing address

608 E Cedar Cir
Kanab, UT 84741-3837

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X10195848-2402 (UT)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

Another provider at this address

About NPI 1194505248

Breanna S. Jackson's National Provider Identifier is 1194505248, issued on Oct 4, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kanab, UT. The record was last updated on Oct 4, 2023.