Individual
EMILY BENTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W 3RD ST, SHERIDAN, WY 82801-3606
(307) 672-2092
Mailing address
50 W 3RD ST, SHERIDAN, WY 82801-3606
(307) 672-2092
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
086
WY
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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