Breanna S. Jackson

Physical Therapy Assistant · Kanab, UT

Individual Active NPI

NPI number 1194505248

Practice location

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

Phone: (435) 644-4199

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NPI record

NPI: 1194505248
Entity type: Individual (Type 1)
Enumeration date: October 4, 2023
Last updated: October 4, 2023
Certified: October 4, 2023
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Physical Therapy Assistant Primary	`225200000X`	10195848-2402	UT

Mailing address

608 E Cedar Cir
Kanab, UT 84741-3837

Phone: (435) 851-1283

About Breanna Jackson

Breanna S. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 355 N Main St Ste 103, Kanab, UT 84741-3260. The NPI number 1194505248 was assigned on October 4, 2023 and the record was last updated on October 4, 2023.

Breanna Jackson lists a license in the registry: #10195848-2402 (UT) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Breanna S. Jackson?

The NPI number is 1194505248.

What is the phone number of Breanna Jackson?

The phone number listed for the practice location is (435) 644-4199.

Where is Breanna Jackson located?

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

What is the taxonomy code for Breanna Jackson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.