Kenneth Wayne O'donnell PT

NPI 1144420662 - Physical Therapist - 225100000X

NPI Details
NPI 1144420662
Gender Male
Enumeration Date 07/23/2007
Last Updated 07/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6933 MANHATTAN LN
CHEYENNE WY, 82009-2723, US
Phone (307) 635-6493
Fax
Business Location
6933 MANHATTAN LN
CHEYENNE WY, 82009-2723, US
Phone (307) 635-6493
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wyoming
License Number 678
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According to our database, Mr. Kenneth Wayne O'donnell PT NPI is 1144420662, taxonomy code is 225100000X and license number is 678, license state is located at Wyoming. Kenneth Wayne O'donnell PT physically located at 6933 Manhattan Ln, Cheyenne WY, 82009-2723. NPI Number Kenneth Wayne O'donnell PT has the Individual type.

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1144420662 NPI number is provided on an as is basis without warranty of any kind. 1144420662 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Wayne O'donnell PT are for informational purposes only.