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Organization

FREMONT THERAPY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT E PHISTER MPT (PHYSICAL THERAPIST OWNER)
(307) 856-7021
Entity
Organization

Contact information

Practice address
2002 WEST SUNSET DRIVE, SUITE 1, RIVERTON, WY 82501
(307) 856-7021
(307) 856-5546
Mailing address
2002 WEST SUNSET DRIVE, SUITE 1, RIVERTON, WY 82501
(307) 856-7021
(307) 856-5546

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
307980
MEDICARE PART B
01
C65268
RAILROAD MEDICARE
Enumeration date
03/20/2007
Last updated
08/22/2020
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