Individual
BECKY LEE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
305 E LAKEWAY RD, GILLETTE, WY 82718-6301
(307) 696-6045
Mailing address
550 E BROCK ST, BUFFALO, WY 82834-2234
(307) 258-5636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-1087
WY
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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