Individual
MICHAEL ZELYEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1909 VISTA DR, LARAMIE, WY 82070-5530
(307) 721-8024
Mailing address
1909 VISTA DR, LARAMIE, WY 82070-5530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1672
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1672
STATE LICENSURE
WY
Enumeration date
11/22/2016
Last updated
11/22/2016
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