Organization
PHYSICAL THERAPY OF WYOMING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY JOHNSON PT (OWNER)
(307) 670-8111
Entity
Organization
Contact information
Practice address
1211 S DOUGLAS HWY STE 120, GILLETTE, WY 82716-4949
(307) 670-8111
(307) 670-8113
Mailing address
1211 S DOUGLAS HWY STE 120, GILLETTE, WY 82716-4949
(307) 670-8111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
03/01/2022
Last updated
05/23/2022
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