KELLY JAMES JACKSON

SAINT GEORGE, UT
NPI1811191166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  347889-2401)
Enumeration Date2007-06-12
Last Update Date2010-05-15
Business Address
Mr. KELLY JAMES JACKSON PT
1424 E FOREMASTER DR SUITE 130
SAINT GEORGE, UT 84790-5832
Phone number: 435-251-2367
Mailing Address
Mr. KELLY JAMES JACKSON PT
1819 S 2780 E
SAINT GEORGE, UT 84790-7166
Phone number: 435-669-5892
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