Individual
SHAYLA MARIE WICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1541 CENTENNIAL CT, CASPER, WY 82609-7304
(307) 235-3910
(307) 266-2891
Mailing address
PO BOX 1791, 15 SAGE HILL RD, GLENROCK, WY 82637-1791
(307) 262-4212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2391
WY
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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