MICHAEL RAYMOND BOULTER

CASPER, WY
NPI1265663587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-1283)
Enumeration Date2009-08-04
Last Update Date2009-08-04
Business Address
-- MICHAEL RAYMOND BOULTER DPT
311 THELMA DR
CASPER, WY 82609-2325
Phone number: 307-234-2662
Mailing Address
-- MICHAEL RAYMOND BOULTER DPT
PO BOX 1790
DOUGLAS, WY 82633-1790
Phone number: 307-358-9464
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