Individual
CHELLIE E TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
555 EAST BROADWAY, SUITE 100, JACKSON, WY 83001
(307) 733-3636
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373
(219) 365-6553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-966
WY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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