Sports and Rehabilitation Center of Wyoming LLC

NPI #1063009272 in Jackson, Wyoming

Provider Information

NPI Number
1063009272
Entity Type
Organization
Organization Name
Sports and Rehabilitation Center of Wyoming LLC
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Dec 22, 2020
Last Updated
May 23, 2021

Practice Location

Address
625 E BROADWAY AVE
State
Wyoming
ZIP Code
83001-8642
Phone
(307) 920-1688

Authorized Official

Name
AUSTIN HAMMESFAHR
Title
MANAGER
Phone
(310) 307-9670

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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