JASON SACKETT WEST

FORT KNOX, KY
NPI1932647963
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305215575)
Additional Taxonomies226300000X Kinesiotherapist
Enumeration Date2017-02-10
Last Update Date2025-05-16
Business Address
JASON SACKETT WEST DPT
200 BRULE ST BLDG 871
FORT KNOX, KY 40121-6100
Phone number: 800-493-9602
Mailing Address
JASON SACKETT WEST DPT
1212 WEST VALLEY DRIVE
HENRICO, VA 23229
Phone number: 804-971-4265
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