BACK COUNTRY PHYSICAL THERAPY LLC

SHERIDAN, WY
NPI1558742981
Entity TypeOrganization
Authorized ContactBRETT A JENKS
President
307-461-9669
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-1552)
Enumeration Date2015-06-11
Last Update Date2016-01-08
Business Address
BACK COUNTRY PHYSICAL THERAPY LLC
2240 COFFEEN AVE STE G
SHERIDAN, WY 82801-6288
Phone number: 307-461-9669
Mailing Address
BACK COUNTRY PHYSICAL THERAPY LLC
PO BOX 7220
SHERIDAN, WY 82801-7004
Phone number: 307-461-9669
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