NIKOLAI BREITKOPF

CHEYENNE, WY
NPI1174714232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  1105)
Enumeration Date2007-08-05
Last Update Date2015-07-17
Business Address
-- NIKOLAI BREITKOPF MSPT
1900 CONVERSE AVE
CHEYENNE, WY 82001-4112
Phone number: 307-514-2411
Mailing Address
-- NIKOLAI BREITKOPF MSPT
PO BOX 1790
DOUGLAS, WY 82633-1790
Phone number: 307-358-9464