Mr Trent Jackman, PT - Physical Therapist in Pocatello, ID

Mr Trent Jackman, PT is a Physical Therapist - Geriatrics based in Pocatello, Idaho. Mr Trent Jackman is licensed to practice in Idaho (license number PT-1236) and his current practice location is Garrison Bldg 63, Room 202, Stop 8045, Pocatello, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 282-3065.

NPI number for Mr Trent Jackman is 1053503193 and his current mailing address is Dept Of Physical Therapy Idaho State University, Stop 8045, Pocatello, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053503193.

Contact Information

Mr Trent Jackman, PT
Garrison Bldg 63, Room 202, Stop 8045,
Pocatello, ID 83209-0001
(208) 282-3065
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Trent Jackman
GenderMale
SpecialityPhysical Therapist - Geriatrics
LocationGarrison Bldg 63, Room 202, Pocatello, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053503193
  • Provider Enumeration Date: 08/13/2007
  • Last Update Date: 08/13/2007

Medical Identifiers

Medical identifiers for Mr Trent Jackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053503193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251G0304XPhysical Therapist - Geriatrics PT-1236 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Trent Jackman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Trent Jackman, PT
Dept Of Physical Therapy Idaho State University, Stop 8045,
Pocatello, ID 83209-0001

Ph: (208) 282-3065
Mr Trent Jackman, PT
Garrison Bldg 63, Room 202, Stop 8045,
Pocatello, ID 83209-0001

Ph: (208) 282-3065

Reviews and Comments


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