Individual
KORTNEY MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1771 CENTENNIAL DR, LARAMIE, WY 82070-8403
(307) 742-6372
Mailing address
456 W FREMONT ST, LARAMIE, WY 82072-3528
(307) 399-6513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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