Organization
RED TAIL THERAPY LLC
Active
Organization
RED TAIL THERAPY LLC
Active
Other names
Red Tail Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SMITH PT (CEO, PHYSICAL THERAPIST)
(307) 368-2300
Entity
Organization
Contact information
Practice address
350 S WASHINGTON ST UNIT 5, AFTON, WY 83110-5106
(307) 254-1353
Mailing address
PO BOX 1111, AFTON, WY 83110-1111
(307) 254-1353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
08/25/2022
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