Orthopaedics of Jackson Hole

NPI #1922051184 in Jackson, Wyoming

Provider Information

NPI Number: 1922051184
Entity Type: Organization
Organization Name: Orthopaedics of Jackson Hole
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 555 E BROADWAY
City: Jackson
State: Wyoming
ZIP Code: 83001-9496
Phone: (307) 733-3900

Authorized Official

Name: HOLLY HORAN
Title: CORPORATE OPERATIONS SPECIALIST
Phone: (219) 365-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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