Individual
KATIE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 S WALSH DR STE 204, CASPER, WY 82609-2361
(307) 224-0082
Mailing address
1240 IVY LN, CASPER, WY 82609-3069
(307) 258-8934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
HLTH-000698-2023
WY
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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