IndividualActive
Breanna Jackson
NPI 1194505248 · Physical Therapy Assistant · Kanab, UT
Provider details
- NPI number
- 1194505248
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10195848-2402 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
355 N Main St Ste 103
Kanab, UT 84741-3260
Phone: (435) 644-4199
Approximate (ZIP-level) locationGet directions
Mailing address
608 E Cedar Cir
Kanab, UT 84741-3837
Registry dates
- Enumerated
- 2023-10-04
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.