Organization
COLD COUNTRY MEDICAL LLC
Active
Other names
Cold Country Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KORRY WHEELER PT, DPT, ECS (CEO)
(307) 880-4653
Entity
Organization
Contact information
Practice address
330 ADAMS ST, AFTON, WY 83110-5056
(307) 880-4653
Mailing address
PO BOX 1179, AFTON, WY 83110-1179
(307) 880-4653
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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