Individual
MICHAEL CLARK REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, CWS
Contact information
Practice address
630 E 1ST ST, CASPER, WY 82601-2613
(307) 266-4600
Mailing address
630 E 1ST ST, CASPER, WY 82601-2613
(307) 266-4600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT914
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W9676
PROVIDER NUMBER
WY
Enumeration date
11/16/2006
Last updated
10/24/2007
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