Kathleen Grace Jackson
Physical Therapist - Neurology Physical Therapist - Orthopedic
590 S Wakara Way
Salt Lake City
, Utah 84108-1200
Kathleen Grace Jackson
Physical Therapist - Neurology Physical Therapist - Orthopedic
590 S Wakara Way
Salt Lake City
, Utah 84108-1200
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About
Features
Specialties
- Physical Therapist - Neurology
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Kathleen Grace Jackson
- 2927 E 3300 S
- Salt Lake City, UT
- Zip : 84109-2138
- Phone :
Second Address
- Kathleen Grace Jackson
- 590 S Wakara Way
- Salt Lake City, UT
- Zip : 84108-1200
- Phone : (801) 587-7109
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FAQs
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Does Kathleen Grace Jackson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251N0400X | Physical Therapist - Neurology | 9047266-2401 | UT |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 9047266-2401 | UT |
National Provider Identifier
| NPI | 1720496326 |
|---|---|
| Provider Name | Kathleen Grace Jackson |
| First Address | Salt Lake City, UT 84109-2138 |
| Second Address | Salt Lake City, UT 84108-1200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2014 |
| Last Update Date | 27/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.