Organization
SUMMIT PHYSICAL & SPORTS THERAPY GREEN RIVER, LLC
Active
Organization
SUMMIT PHYSICAL & SPORTS THERAPY GREEN RIVER, LLC
Active
Other names
Summit Physical & Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER S NELSON MPT (PHYSICAL THERAPIST/OWNER)
(307) 875-4654
Entity
Organization
Contact information
Practice address
541 E FLAMING GORGE WAY, UNIT A, GREEN RIVER, WY 82935-4363
(307) 875-4654
(307) 875-4741
Mailing address
541 E FLAMING GORGE WAY, UNIT A, GREEN RIVER, WY 82935-4363
(307) 875-4654
(307) 875-4741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/24/2015
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