Organization
ALL BODY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LEA LEWIS (PRESIDENT)
(307) 413-4268
Entity
Organization
Contact information
Practice address
1116 MAPLE WAY, JACKSON, WY 83001
(307) 413-4268
Mailing address
PO BOX 9725, JACKSON, WY 83002-9725
(307) 413-4268
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1042
WY
Other
Enumeration date
03/01/2007
Last updated
02/03/2010
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