Individual
CEIRRA D CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-9464
(307) 359-9330
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2441
WY
Other
Enumeration date
06/13/2022
Last updated
12/09/2024
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