Physical Therapy of Wyoming LLC

NPI #1295481174 in Gillette, Wyoming

Provider Information

NPI Number: 1295481174
Entity Type: Organization
Organization Name: Physical Therapy of Wyoming LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 1, 2022
Last Updated: May 23, 2022

Practice Location

Address: 1211 S DOUGLAS HWY STE 120
City: Gillette
State: Wyoming
ZIP Code: 82716-4949
Phone: (307) 670-8111

Authorized Official

Name: BRANDY JOHNSON, PT
Title: OWNER
Phone: (307) 670-8111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Physical Therapist	225100000X	Primary

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