Individual
GEOFFREY STANKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4140 CENTENNIAL HILLS BLVD, A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Mailing address
4140 CENTENNIAL HILLS BLVD, A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1471
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012398
STATE BOARD
CO
01
—
1471
LICENSE
WY
Enumeration date
10/09/2013
Last updated
02/10/2014
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