Organization
PARRIS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE S PARRIS MPT (OWNER)
(307) 638-0300
Entity
Organization
Contact information
Practice address
4202 RIDGE RD, CHEYENNE, WY 82001-1744
(307) 638-0300
(307) 638-0394
Mailing address
PO BOX 20188, CHEYENNE, WY 82003-7004
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT843
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313961
BLUE CROSS BLUE SHIELD
WY
Enumeration date
06/01/2006
Last updated
02/01/2008
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