Kinsey D Freese, PTA

NPI #1568807725 in Lander, Wyoming

Provider Information

NPI Number: 1568807725
Entity Type: Individual
Name: Kinsey D Freese, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 1, 2013
Last Updated: May 1, 2013

Practice Location

Address: 307 MAIN ST
City: Lander
State: Wyoming
ZIP Code: 82520-3101
Phone: (307) 332-2715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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