Individual
DR. JACOB WAYNE MUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1090 S HWY 89, JACKSON, WY 83001-9484
(307) 733-5577
(307) 733-5505
Mailing address
PO BOX 8467, JACKSON, WY 83002-8467
(605) 254-7578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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