Utah
Division of Occupational and Professional Licensing
STACEY MARIE JACKSON
Physical Therapist - Physical Therapist Assistant
License number
7781015-2402
Date granted
12/27/2010
Date expires
05/31/2015
Class
Physical Therapist - Physical Therapist Assistant
Status
Active
Address
TOOELE, UT 84074
utahlicensing.org
ID 29918020
LAST UPDATED 2026-03-17 19:57:29 UTC
LAST UPDATED 2026-03-17 19:57:29 UTC
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