Individual
DR. KEITH RYAN KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1230 NORTH FALL CREEK RD, WILSON, WY 83014
(307) 699-7667
Mailing address
1560 W COLT DR, JACKSON, WY 83001-9108
(760) 415-0605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1991
WY
Other
Enumeration date
09/03/2020
Last updated
10/28/2020
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