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Russell Jackson, DPT
NPI 1902225519 · on the registry since 2014
Practice
- Address
- 1551 N Main St
Payson, UT 84651 - Phone
- (801) 465-5400
- Fax
- (801) 465-4872
- Organisation at this address
- Avalon Care Center - Va Payson Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-10
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