Individual
NIKOLAI BREITKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1900 CONVERSE AVE, CHEYENNE, WY 82001-4112
(307) 514-2411
(307) 514-2392
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1105
WY
Other
Enumeration date
08/05/2007
Last updated
07/17/2015
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