| NPI | 1558742981 |
|---|---|
| Doing Business As | BACK COUNTRY PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BRETT A JENKS Owner/Physical Therapist 307-336-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1552) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2025-02-14 |