Trent Jackman is a Geriatrics in Pocatello, Idaho. Trent Jackman practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Trent Jackman is 1053503193. The last update date is 2007-08-13.
Trent Jackman's current location address is Dept Of Physical Therapy Idaho State University, Pocatello, Idaho. You can contact this provider via phone number 2082823065. The mailing address for Trent Jackman is Dept Of Physical Therapy Idaho State University, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trent Jackman |
|---|---|
| Address | Dept Of Physical Therapy Idaho State University, Pocatello, Idaho |
| Phone Number | 2082823065 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1053503193 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | Dept Of Physical Therapy Idaho State University |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832090001 |
| Phone Number | 2082823065 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | PT-1236 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Trent Jackman by the Centers for Medicare & Medicaid Services?
The Trent Jackman has been assigned the NPI (National Provider Identifier) 1053503193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Trent Jackman?
The Trent Jackman is situated at Dept Of Physical Therapy Idaho State University, in the city of Pocatello, state of ID, with the zip code 832090001.
What is the Trent Jackman's area of specialization and corresponding taxonomy classification?
The Trent Jackman's specialty field is Geriatrics, and it falls under the taxonomy code 2251G0304X, which categorizes healthcare providers based on their specialties.
When did the Trent Jackman receive its 1053503193?
The Trent Jackman was issued its 1053503193 on 2007-08-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Trent Jackman most recently updated or refreshed?
The details pertaining to the Trent Jackman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-13.