Organization
TETON THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEGWOOD (CREDENTIALING MANAGER)
(307) 463-0462
Entity
Organization
Contact information
Practice address
1406 W MAIN ST, RIVERTON, WY 82501-3239
(307) 857-7074
(307) 856-6459
Mailing address
1406 W MAIN ST, RIVERTON, WY 82501-3239
(307) 463-0462
(307) 463-2010
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116397300
—
WY
Enumeration date
07/06/2006
Last updated
04/22/2021
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