Wyoming Specialized Physical Therapy Inc.

NPI #1336151265 in Evanston, Wyoming

Provider Information

NPI Number
1336151265
Entity Type
Organization
Organization Name
Wyoming Specialized Physical Therapy Inc.
Primary Specialty
Physical Therapist
Enumeration Date
Aug 12, 2006
Last Updated
Nov 1, 2021

Practice Location

Address
620 W CHEYENNE DR.
State
Wyoming
ZIP Code
82930-5505
Phone
(307) 789-8860

Authorized Official

Name
MICHAEL G JACKETTA, DPT OCS
Title
OWNER
Phone
(307) 789-8860

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic
Physical Therapist

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