Individual
KRISTEN KILIAN-WEIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1526 RUMSEY AVE, CODY, WY 82414-3871
(307) 578-1970
(307) 578-1973
Mailing address
PO BOX 790, THERMOPOLIS, WY 82443-0790
(307) 864-2146
(307) 864-2857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1515
WY
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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