Individual
MYCHEAL WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1125 CHARLES AVE, WORLAND, WY 82401-4021
(307) 347-2535
Mailing address
PO BOX 790, THERMOPOLIS, WY 82443-0790
(307) 864-2146
(307) 864-2857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2038
WY
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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