Organization
PRO SPORTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA J FOUNTAIN (OWNER)
(307) 317-8332
Entity
Organization
Contact information
Practice address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 317-8332
(307) 317-8337
Mailing address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 317-8332
(307) 317-8337
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
05/07/2026
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