Organization
WYO SPORTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT KAUTZMANN (OWNER)
(307) 262-7923
Entity
Organization
Contact information
Practice address
4155 LEGION LN # 1&2, CASPER, WY 82609-1946
(307) 262-7923
Mailing address
6848 ROGUE RIVER RD, CASPER, WY 82604-4507
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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