Merek C Deacon, P.T.

NPI #1619171378 in Laramie, Wyoming

Provider Information

NPI Number
1619171378
Entity Type
Individual
Name
Merek C Deacon, P.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Jun 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1575 N 4TH ST STE 101
State
Wyoming
ZIP Code
82072-2091
Phone
(307) 745-5434

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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