| NPI | 1740209956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY L. WECKWERTH Office Manager 307-268-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY PT-057) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-11-23 |