Individual
MRS. KATELIN RENEE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CERT MDT
Contact information
Practice address
545 E MAIN ST STE B, LANDER, WY 82520-3470
(307) 335-3471
(307) 332-5388
Mailing address
683 BURMA RD, RIVERTON, WY 82501-9763
(763) 232-1756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
PT1743
WY
Other
Enumeration date
06/28/2012
Last updated
04/07/2025
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