Individual
MICHAEL T UTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
311 THELMA DR, CASPER, WY 82609-2325
(307) 234-2334
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1794
WY
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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