MR. Brian Charles Prax, MA PT

NPI #1659454205 in Jackson, Wyoming

Provider Information

NPI Number: 1659454205
Entity Type: Individual
Name: MR. Brian Charles Prax, MA PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MA PT
Enumeration Date: Oct 24, 2006
Last Updated: Aug 8, 2016

Practice Location

Address: 185 POWDERHORN LN
City: Jackson
State: Wyoming
ZIP Code: 83001-8426
Phone: (307) 200-1332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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