Wind River Physical Therapy Llc

NPI 1548677701 - Specialist - 174400000X

NPI Details
NPI 1548677701
Enumeration Date 07/18/2014
Last Updated 02/02/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TY NATHANIEL TY
Position OWNER
Phone (307) 335-5188
Fax (307) 333-0600
Practice Location
150 LINCOLN ST
LANDER WY, 82520-2846, US
Phone (307) 335-5188
Fax (307) 333-0600
Business Location
364 NORTH 2ND STREET
LANDER WY, 82520-3033, US
Phone (307) 335-5188
Fax (307) 333-0600
Toxanomy
Taxonomy Code 174400000X
License State Wyoming
License Number WY-1202
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According to our database, Wind River Physical Therapy Llc NPI is 1548677701, taxonomy code is 174400000X and license number is WY-1202, license state is located at Wyoming. Wind River Physical Therapy Llc physically located at 150 Lincoln St, Lander WY, 82520-2846. NPI Number 1033115704 has the healthcare provider type.

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1548677701 NPI number is provided on an as is basis without warranty of any kind. 1548677701 is maintained by the National Plan & Provider Enumeration System. The contents of Wind River Physical Therapy Llc are for informational purposes only.