Individual
MR. THOMAS JAMES BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 635-2562
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4777
(307) 773-8013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WY1056
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119304000
—
WY
01
—
312262
BLUE CROSS/BLUE SHIELD
WY
01
—
P00068933
RR MEDICARE
WY
Enumeration date
10/23/2006
Last updated
11/04/2022
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