Individual
MARTIN D MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
4140 CENTENNIAL HILLS BLVD STE B, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Mailing address
4140 CENTENNIAL HILLS BLVD STE B, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 751
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121303200
—
WY
01
—
313673
BCBS
WY
01
—
P00326412
RAILROAD MEDICARE
WY
Enumeration date
08/12/2005
Last updated
11/20/2018
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