KATHLEEN GRACE JACKSON DPT
NPI 1720496326
Physical Therapist - Orthopedic in Salt Lake City, UT

Active since July 27, 2014
590 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 587-7109 Get Directions Write a Review

NPPES record last updated: July 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathleen Grace Jackson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN GRACE JACKSON DPT (NPI 1720496326) is an individual orthopedic provider in Salt Lake City, Utah, licensed in Utah (9047266-2401) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1720496326
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKATHLEEN GRACE JACKSONCredential: DPT
Location Address590 S WAKARA WAYSalt Lake City, UT 84108-1200
Mailing Address2927 E 3300 SSalt Lake City, UT 84109-2138
Sole ProprietorNo
Enumeration DateJuly 27, 2014
NPI 1720496326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in UT · 9047266-2401
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical Therapist · NeurologyTaxonomy 2251N0400X · License 9047266-2401 (UT)
590 S WAKARA WAY, Salt Lake City, UT 84108

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
General Acute Care Hospital
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Specialist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720496326, enumerated as an "individual" on July 27, 2014.

The provider is located at 590 S WAKARA WAY SALT LAKE CITY, UT 84108 and the phone number is (801) 587-7109.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.