Individual
MRS. KAYSHA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1090 S HWY 89, JACKSON, WY 83001
(307) 733-5577
(307) 733-5505
Mailing address
PO BOX 2005, JACKSON, WY 83001-2005
(425) 218-7178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1713
WY
Other
Enumeration date
06/26/2017
Last updated
02/05/2025
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