Tisha Marie Foster Carlson, DPT

NPI #1467980821 in Gillette, Wyoming

Provider Information

NPI Number: 1467980821
Entity Type: Individual
Name: Tisha Marie Foster Carlson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 30, 2017
Last Updated: May 30, 2017

Practice Location

Address: 508 STOCKTRAIL AVE STE D
City: Gillette
State: Wyoming
ZIP Code: 82716-3582
Phone: (307) 688-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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