MR. Kenneth Wayne O'donnell, PT

NPI #1144420662 in Cheyenne, Wyoming

Provider Information

NPI Number
1144420662
Entity Type
Individual
Name
MR. Kenneth Wayne O'donnell, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jul 23, 2007
Last Updated
Jul 23, 2007

Practice Location

Address
6933 MANHATTAN LN
State
Wyoming
ZIP Code
82009-2723
Phone
(307) 635-6493

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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