Individual
IAN KIRVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1156 N MAIN ST, SHERIDAN, WY 82801-3055
(307) 763-4556
Mailing address
1156 N MAIN ST, SHERIDAN, WY 82801-3055
(509) 847-4303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1545
WY
Other
Enumeration date
09/02/2014
Last updated
01/07/2022
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