Summit Physical & Sports Therapy Green River, LLC
NPI #1245608603 in Green River, Wyoming
Provider Information
- NPI Number
- 1245608603
- Entity Type
- Organization
- Organization Name
- Summit Physical & Sports Therapy Green River, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 2, 2015
- Last Updated
- Sep 24, 2015
Practice Location
- Address
- 541 E FLAMING GORGE WAY
- Address 2
- UNIT A
- City
- Green River
- State
- Wyoming
- ZIP Code
- 82935-4363
- Phone
- (307) 875-4654
Authorized Official
- Name
- KRISTOPHER S NELSON, MPT
- Title
- PHYSICAL THERAPIST/OWNER
- Phone
- (307) 875-4654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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