Individual
KATHERINE QUAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
545 E MAIN ST STE B, LANDER, WY 82520-3470
(307) 335-3471
(307) 332-5388
Mailing address
545 E MAIN ST STE B, LANDER, WY 82520-3470
(307) 335-3471
(307) 332-5388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1537
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477568046
BLUE CROSS BLUE SHIELD
WY
05
—
1477568046
—
WY
Enumeration date
08/04/2014
Last updated
10/07/2024
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