Individual
RAGEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 670-9191
(307) 670-9193
Mailing address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 670-9191
(307) 670-9193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1985
WY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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