Individual
CODY CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 WEST CROOK STREET, MOORCROFT, WY 82721-5027
(307) 756-9200
Mailing address
101 WEST CROOK STREET, MOORCROFT, WY 82721-5027
(307) 756-9200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1745
WY
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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