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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