Cowboy State Therapy LLC

NPI #1083598122 in Cheyenne, Wyoming

Provider Information

NPI Number
1083598122
Entity Type
Organization
Organization Name
Cowboy State Therapy LLC
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Aug 1, 2025
Last Updated
Aug 3, 2025

Practice Location

Address
7008 HAWTHORNE DR
State
Wyoming
ZIP Code
82009-2513
Phone
(720) 917-5557

Authorized Official

Name
BROCK MARION WAHLERT, OTR/L
Title
OCCUPATIONAL THERAPIST
Phone
(719) 821-3911

Specialties & Taxonomy Codes

Specialty
Physical Therapist - PediatricsPediatrics
Occupational Therapist - Feeding, Eating & SwallowingFeeding, Eating & Swallowing
Occupational Therapist - Physical RehabilitationPhysical Rehabilitation
Occupational Therapist - PediatricsPediatrics

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