Individual
JASON SACKETT WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 BRULE ST BLDG 871, FORT KNOX, KY 40121-6100
(800) 493-9602
Mailing address
1212 WEST VALLEY DRIVE, HENRICO, VA 23229
(804) 971-4265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215575
VA
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
02/10/2017
Last updated
05/16/2025
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