Individual
MISTI REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 PRAIRIE AVE, CHEYENNE, WY 82009-4842
(307) 258-8375
Mailing address
2610 DILLON AVE, CHEYENNE, WY 82001-2936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WY
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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