Michael Gene Jacketta MPT, OCS

  • NPI 1134131055
According to our database, the NPI number for Michael Gene Jacketta MPT, OCS is 1134131055 and activated since 17 years ago. Michael Gene Jacketta MPT, OCS is an individual provider who specializes in Physical Therapist, and the primary practice location is 620 West Cheyenne Drive, Evanston, WY 82930. You can also contact Michael Gene Jacketta MPT, OCS via telephone number is (307) 789-8860. Provider NPI information was last updated on 07/08/2007.

Recently Active NPIs

Overview of Michael Gene Jacketta MPT, OCS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/12/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 840
  • License State: WY

Provider Mailing Address

  • Address: 620 West Cheyenne Drive
    Evanston, WY 82930
  • Phone: 307-789-8860
  • Fax: 307-789-8394

Provider Practice Location

  • Address: 620 West Cheyenne Drive
    Evanston, WY 82930
  • Phone: 307-789-8860
  • Fax: 307-789-8394

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 840
  • License State: WY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 117012100 118279000
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Michael Gene Jacketta MPT, OCS?
  • A: The npi number for Michael Gene Jacketta MPT, OCS is 1134131055.
  • Q: What are Michael Gene Jacketta MPT, OCS's specialties?
  • A: Michael Gene Jacketta MPT, OCS's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Michael Gene Jacketta MPT, OCS?
  • A: The medical license number for Michael Gene Jacketta MPT, OCS is 840 and issued in WY in USA.
  • Q: Where is Michael Gene Jacketta MPT, OCS practice location?
  • A: Michael Gene Jacketta MPT, OCS is practicing at 620 West Cheyenne Drive, Evanston, WY 82930.
  • Q: How to contact Michael Gene Jacketta MPT, OCS?
  • A: You can contact Michael Gene Jacketta MPT, OCS via 307-789-8860.