Individual
MRS. KELLY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 W SUNSET DR, SUITE 1, RIVERTON, WY 82501-2283
(307) 856-7021
(307) 856-5546
Mailing address
2002 W SUNSET DR, SUITE 1, RIVERTON, WY 82501-2283
(307) 856-7021
(307) 856-5546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0756
WY
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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