Wyoming Physical Therapy PC

NPI #1689226524 in Cheyenne, Wyoming

Provider Information

NPI Number: 1689226524
Entity Type: Organization
Organization Name: Wyoming Physical Therapy PC
Primary Specialty: Specialist
Enumeration Date: Jul 11, 2019
Last Updated: Feb 24, 2020

Practice Location

Address: 1620 E PERSHING BLVD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3238
Phone: (307) 772-0955

Authorized Official

Name: DOUGLAS K. WILSON
Title: DELEGATED OFFICIAL
Phone: (307) 772-0955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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