Individual
KIMBERLY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3917 E PERSHING BLVD, CHEYENNE, WY 82001-6187
(307) 514-2411
Mailing address
1951 W 4700 S STE 2, TAYLORSVILLE, UT 84129-1108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2075
WY
Other
Enumeration date
06/14/2021
Last updated
03/02/2022
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