Individual
MRS. BETH A JOHNSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1819 SHERIDAN AVE, CODY, WY 82414-3886
(307) 587-9866
(307) 587-9867
Mailing address
PO BOX 1750, CODY, WY 82414-1750
(307) 587-9866
(307) 587-9867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT210
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102379902
—
WY
01
—
308040
BLUE CROSS BLUE SHIELD
WY
Enumeration date
01/11/2006
Last updated
06/29/2015
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