Individual
KRISTINA NOCKLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(307) 742-3728
Mailing address
1727 PALMER DR APT 4, LARAMIE, WY 82070-4765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1475
WY
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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