| NPI | 1255780524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BLAIR Owner 307-235-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY 1629) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |