Individual
KINSEY LYNN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
469 S MOUNTAIN VIEW ST, POWELL, WY 82435-2535
(307) 754-1235
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-9464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1610
WY
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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