Individual
JENNIFER ANN BUELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4070 PLAZA DR STE 107, CASPER, WY 82604-4296
(307) 265-7205
Mailing address
4140 CENTENNIAL HILLS BLVD STE B, CASPER, WY 82609-3265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1245
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-1245
STATE LICENSE
WY
Enumeration date
05/05/2010
Last updated
11/13/2023
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