Individual
MR. JOSHUA J FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 317-8332
Mailing address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 317-8332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014221
CO
225200000X
Physical Therapy Assistant
PTA0672
WY
225200000X
Physical Therapy Assistant
Primary
PTA1172
WY
Other
Enumeration date
08/20/2010
Last updated
04/16/2026
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