# LEGACY AUDIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Audiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699553578
- **Authorized official:** LIBBY MEHLE AUD (CO-OWER/ AUDIOLOGIST)
- **Authorized official phone:** (307) 371-0789

## Contact information

- **Practice address:** 1038 CYPRESS CIR, ROCK SPRINGS, WY 82901-4100
- **Practice address phone:** (307) 371-0789
- **Mailing address:** 1208 HILLTOP DR STE 105, ROCK SPRINGS, WY 82901-5858
- **Mailing address phone:** (307) 522-5410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 10/25/2023
