Organization
PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY BAROODY (OFFICE MGR)
(307) 577-0402
Entity
Organization
Contact information
Practice address
940 E 3RD STREET SUITE 103, CASPER, WY 82601
(307) 577-0402
(307) 577-0403
Mailing address
940 E 3RD STREET SUITE 103, CASPER, WY 82601
(307) 577-0402
(307) 577-0403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 202
WY
225100000X
Physical Therapist
Primary
PT 77
WY
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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