Organization
ROCKY MOUNTAIN THERAPY LLC
Active
Other names
Rocky Mountain Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE LYNN HOLDER OTR/L (OWNER)
(307) 577-5204
Entity
Organization
Contact information
Practice address
2546 E 2ND ST, BUILDING 500, CASPER, WY 82609-2047
(307) 577-5204
(307) 577-5212
Mailing address
2546 E 2ND ST, BUILDING 500, CASPER, WY 82609-2047
(307) 577-5204
(307) 577-5212
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
COTA-534
WY
224Z00000X
Occupational Therapy Assistant
COTA-589
WY
224Z00000X
Occupational Therapy Assistant
COTA-617
WY
224Z00000X
Occupational Therapy Assistant
COTA-621
WY
225100000X
Physical Therapist
Primary
PT-891
WY
225200000X
Physical Therapy Assistant
PTA-331
WY
225200000X
Physical Therapy Assistant
PTA-537
WY
225X00000X
Occupational Therapist
OTR-452
WY
225XH1200X
Hand Occupational Therapist
OTR-031
WY
235Z00000X
Speech-Language Pathologist
SP-169
WY
235Z00000X
Speech-Language Pathologist
SP-395
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00693001
BCBS OF WYOMING
WY
05
—
118492000
—
WY
01
—
3120039
WY WORKERS COMP BA #
WY
Enumeration date
03/31/2006
Last updated
05/19/2020
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