Byron Louis Long MPT

NPI 1053377721 - Physical Therapist - 225100000X

NPI Details
NPI 1053377721
Gender Male
Enumeration Date 04/21/2006
Last Updated 08/05/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1950 BLUEGRASS CIR
SUITE 110
CHEYENNE WY, 82009-7323, US
Phone (307) 634-2626
Fax (307) 634-5099
Business Location
1950 BLUEGRASS CIR
SUITE 110
CHEYENNE WY, 82009-7323, US
Phone (307) 634-2626
Fax (307) 634-5099
Toxanomy
Taxonomy Code 225100000X
License State Washington
License Number PT00007408
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According to our database, Byron Louis Long MPT NPI is 1053377721, taxonomy code is 225100000X and license number is PT00007408, license state is located at Washington. Byron Louis Long MPT physically located at 1950 Bluegrass Cir, Cheyenne WY, 82009-7323. NPI Number Byron Louis Long MPT has the Individual type.

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1053377721 NPI number is provided on an as is basis without warranty of any kind. 1053377721 is maintained by the National Plan & Provider Enumeration System. The contents of Byron Louis Long MPT are for informational purposes only.