Individual
SARAH NIEDERBUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T., O.C.S.
Contact information
Practice address
120 W PEARL AVE, JACKSON, WY 83001-8657
(307) 734-9129
Mailing address
PO BOX 8857, JACKSON, WY 83002-8857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
61738
OR
225100000X
Physical Therapist
PT-4460
ID
225100000X
Physical Therapist
Primary
PT1899
WY
Other
Enumeration date
06/18/2016
Last updated
08/06/2020
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