Bear Lodge Rehabilitation Services, LLC

NPI #1558690099 in Sundance, Wyoming

Provider Information

NPI Number: 1558690099
Entity Type: Organization
Organization Name: Bear Lodge Rehabilitation Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NORTH PLATTE PHYSICAL THERAPY SERVICES, INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 11, 2009
Last Updated: Dec 11, 2009

Practice Location

Address: 226 SOUTH HIGHWAY 585
City: Sundance
State: Wyoming
ZIP Code: 82729-0928
Phone: (307) 283-3516

Authorized Official

Name: CHARLES MANGUS, PT
Title: PRESIDENT
Phone: (307) 358-9464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Provider Name	Specialty	City
DR. Katherine Suzanne Wilkins, PT, DPT	Physical Therapist	Sundance	AI Deep Dive
MRS. Veronica L Kramer, PT	Physical Therapist	Sundance	AI Deep Dive
Timothy J Stiles, PT	Physical Therapist	Sheridan	AI Deep Dive
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Organizations

Provider Name	Specialty	City
North Platte Physical Therapy Services INC	Physical Therapist	Sundance	AI Deep Dive

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