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MICHAEL JACKETTA, MPT, OCS

MPT, OCS

Physical Therapist

NPI: 1134131055IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical Therapist

Code: 225100000X

840(WY)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 1998

Contact & Hours

Address
620 WEST CHEYENNE DRIVE
EVANSTON, WY 82930

Quick Facts

NPI
1134131055
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
28

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