Individual
JALYN M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3905 E GRAND AVE STE 200, LARAMIE, WY 82070-5189
(307) 742-2082
(307) 426-4148
Mailing address
1722 BARRATT ST, LARAMIE, WY 82070-5431
(307) 761-3110
(307) 426-4148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1339
WY
2251G0304X
Geriatric Physical Therapist
PT-1339
WY
2251N0400X
Neurology Physical Therapist
PT-1339
WY
2251X0800X
Orthopedic Physical Therapist
PT-1339
WY
Other
Enumeration date
11/12/2013
Last updated
09/22/2022
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