| NPI | 1922549484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA J WOODS Owner, COO, Physical Therapist 307-337-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY 916) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY 1241) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-04-26 |