Organization
WYOMING WOUND CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CLARK REED MSPT, CWS (PRESIDENT)
(307) 266-4600
Entity
Organization
Contact information
Practice address
630 E 1ST ST, CASPER, WY 82601-2613
(307) 266-4600
(307) 266-4606
Mailing address
630 E 1ST ST, CASPER, WY 82601-2613
(307) 266-4600
(307) 266-4606
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118531400
—
WY
Enumeration date
11/16/2006
Last updated
01/07/2009
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