Individual
BYRON LOUIS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1950 BLUEGRASS CIR, SUITE 110, CHEYENNE, WY 82009-7323
(307) 634-2626
(307) 634-5099
Mailing address
1950 BLUEGRASS CIR, SUITE 110, CHEYENNE, WY 82009-7323
(307) 634-2626
(307) 634-5099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1231
WY
225100000X
Physical Therapist
PT00007408
WA
Other
Enumeration date
04/21/2006
Last updated
08/05/2011
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