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

Q: What is Kathleen Jackson's NPI number?

The NPI number for Kathleen Jackson is 1720496326. It was assigned to this individual provider in the NPPES registry on July 27, 2014.

Q: What is Kathleen Jackson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Jackson was last updated on July 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(801) 587-7109

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

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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.

KAYLA L. GATES MD

Orthopaedic Surgery