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Jillyn Jackson, PTA
NPI 1689107542 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1256 E 1300 S
Salt Lake City, UT 84105 - Phone
- (801) 641-2494
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-07
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 Utah