Individual
DR. ANDREW OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
603 E CARLSON ST STE 304, CHEYENNE, WY 82009-4443
(307) 514-9999
(307) 514-6006
Mailing address
1406 W MAIN ST, RIVERTON, WY 82501-3239
(303) 963-6364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2029
WY
225100000X
Physical Therapist
PTL.0017406
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2029
STATE LICENSE
WY
Enumeration date
10/09/2020
Last updated
12/01/2021
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