Wyoming Physical Therapy PC
NPI #1275185944 in Pine Bluffs, Wyoming
Provider Information
- NPI Number
- 1275185944
- Entity Type
- Organization
- Organization Name
- Wyoming Physical Therapy PC
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 12, 2019
- Last Updated
- Jan 25, 2024
Practice Location
- Address
- 322 N MAIN ST.
- City
- Pine Bluffs
- State
- Wyoming
- ZIP Code
- 82082
- Phone
- (307) 245-3858
Authorized Official
- Name
- WALTER WILSON
- Title
- OWNER
- Phone
- (720) 223-6177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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| DR. Meade O Davis III, M.D. | |
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| MR. Evan Earle Kelley, MSPT, OCS |
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