Individual
DR. BRETT A JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MDT, CFPS
Contact information
Practice address
1262 W 5TH ST, SHERIDAN, WY 82801-2702
(307) 336-7774
(307) 202-4643
Mailing address
51 COFFEEN AVE., STE 101 PMB 286, SHERIDAN, WY 82801-7004
(307) 336-7774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1552
WY
2251X0800X
Orthopedic Physical Therapist
PT1552
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558742981
GROUP NPI FOR BACK COUNTRY PHYSICAL THERAPY, LLC
WY
Enumeration date
04/25/2015
Last updated
02/14/2025
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