Red Tail Therapy LLC

NPI #1710618483 in Afton, Wyoming

Provider Information

NPI Number
1710618483
Entity Type
Organization
Organization Name
Red Tail Therapy LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jun 22, 2022
Last Updated
Aug 25, 2022

Practice Location

Address
350 S WASHINGTON ST UNIT 5
City
Afton
State
Wyoming
ZIP Code
83110-5106
Phone
(307) 254-1353

Authorized Official

Name
KENNETH SMITH, PT
Title
CEO, PHYSICAL THERAPIST
Phone
(307) 368-2300

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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