DR. Nola Peacock, PT, DSC

NPI #1447785829 in Jackson, Wyoming

Provider Information

NPI Number: 1447785829
Entity Type: Individual
Name: DR. Nola Peacock, PT, DSC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DSC
Enumeration Date: Apr 24, 2017
Last Updated: Apr 24, 2017

Practice Location

Address: 555 E BROADWAY AVE
Address 2: SUITE 113
City: Jackson
State: Wyoming
ZIP Code: 83001-8640
Phone: (307) 739-7628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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