Jody Faxon, PTA

NPI #1932482387 in Casper, Wyoming

Provider Information

NPI Number: 1932482387
Entity Type: Individual
Name: Jody Faxon, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 22, 2011
Last Updated: Sep 22, 2011

Practice Location

Address: 6631 E 2ND ST
City: Casper
State: Wyoming
ZIP Code: 82609-4355
Phone: (307) 268-9904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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