TRENT JACKMAN

POCATELLO, ID
NPI1053503193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: ID  PT-1236)
Enumeration Date2007-08-13
Last Update Date2007-08-13
Business Address
Mr. TRENT JACKMAN PT
GARRISON BLDG 63, ROOM 202 STOP 8045
POCATELLO, ID 83209-0001
Phone number: 208-282-3065
Mailing Address
Mr. TRENT JACKMAN PT
DEPT OF PHYSICAL THERAPY IDAHO STATE UNIVERSITY STOP 8045
POCATELLO, ID 83209-0001
Phone number: 208-282-3065
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