Individual
KINSEY D FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
307 MAIN ST, LANDER, WY 82520-3101
(307) 332-2715
(307) 332-0314
Mailing address
307 MAIN ST, LANDER, WY 82520-3101
(307) 332-2715
(307) 332-0314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0498
WY
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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