NPI 1801610860

Monique Marie Jackman

Practitioner Recreation Therapist Washington Terrace, UT

Practice location

Address: 5648 S 500 E, Washington Terrace, UT 84405-7230
Phone: (804) 475-0500
Mailing address: 121 W 4300 N, Pleasant View, UT 84414-1123

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 4744927-4003 (UT)

Other Recreation Therapist providers in Utah →

Registry record

NPI: 1801610860
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2024
Record last updated: 14 Nov 2024

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.