ROBERT L JACKSON

SALT LAKE CITY, UT
NPI1043314479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  1043712401)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
Mr. ROBERT L JACKSON PT
1952 EAST 7000 S 100
SALT LAKE CITY, UT 84121
Phone number: 801-942-3311
Mailing Address
Mr. ROBERT L JACKSON PT
PO BOX 711185
SALT LAKE CITY, UT 84171
Phone number: 801-942-3311