RUSSELL JACKSON

PAYSON, UT
NPI1902225519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  88900572401)
Enumeration Date2014-04-10
Last Update Date2014-04-10
Business Address
-- RUSSELL JACKSON DPT
1551 N MAIN ST
PAYSON, UT 84651-5015
Phone number: 801-465-5400
Mailing Address
-- RUSSELL JACKSON DPT
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-495-5227
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