NPI 1134723836

Stephanie Jackson, DPT

Practitioner Physical Therapist Bountiful, UT

Practice location

Address: 1551 Renaissance Towne Dr STE 350, Bountiful, UT 84010-7674
Phone: (801) 295-3553
Fax: (801) 295-3599

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 11791605-2401 (UT)

Other Physical Therapist providers in Utah →

Registry record

NPI: 1134723836
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Nov 2020
Record last updated: 24 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.