Individual
BRANDON MICHAEL FORISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
352 WHITNEY LN, SHERIDAN, WY 82801-6489
(307) 672-5000
(307) 672-0075
Mailing address
352 WHITNEY LN, SHERIDAN, WY 82801-6489
(307) 672-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1876
WY
Other
Enumeration date
06/05/2019
Last updated
01/07/2020
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