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Individual

LUANN S HERKSTROETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1575 N 4TH ST, SUITE 101, LARAMIE, WY 82072-2091
(307) 745-5434
(307) 745-5484
Mailing address
PO BOX 1146, LARAMIE, WY 82073-1146
(307) 745-5434
(307) 745-5484

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
362
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
312638
BLUE CROSS BLUE SHIELD
WY
01
P00199469
RAILROAD MEDICARE
WY
Enumeration date
09/21/2005
Last updated
11/02/2007
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