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Organization

BLACK TOOTH PHYSIOTHERAPY AND PERFORMANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW JAMES SCARLETT MS, PT, DPT (DOCTOR OF PHYSICAL THERAPY)
(307) 620-5712
Entity
Organization

Contact information

Practice address
682 N MAIN ST STE 3, BUFFALO, WY 82834-1736
(307) 620-5712
Mailing address
682 N MAIN ST STE 3, BUFFALO, WY 82834-1736
(307) 620-5712

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
11/25/2025
Last updated
11/28/2025
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