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Michael Jacketta, MPT, OCS

NPI 1134131055 · on the registry since 2006

Practice

Address
620 West Cheyenne Drive
Evanston, WY 82930
Phone
(307) 789-8860
Fax
(307) 789-8394
Organisation at this address
Wyoming Specialized Physical Therapy Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming