Organization
LITTLE GOOSE THERAPY LLC
Active
Organization
LITTLE GOOSE THERAPY LLC
Active
Other names
Advance Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C ALLRED (PT, OWNER)
(307) 683-0123
Entity
Organization
Contact information
Practice address
345 S LINDEN AVE, SHERIDAN, WY 82801-4709
(307) 683-0123
(307) 683-0101
Mailing address
345 S LINDEN AVE, SHERIDAN, WY 82801-4709
(307) 683-0123
(307) 683-0101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/28/2026
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