Individual
MR. SCOTT ELVIN PHISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2002 WEST SUNSET DR, SUITE 1, RIVERTON, WY 82501
(307) 856-7021
(307) 856-5546
Mailing address
2002 WEST SUNSET DR, SUITE 1, RIVERTON, WY 82501
(307) 856-7021
(307) 856-5546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT469
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307314
BLUE CROSS BLUE SHIELF
WY
Enumeration date
07/24/2006
Last updated
11/09/2007
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