Organization
ASPEN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHET A ERICKSON PT (MEMBER)
(307) 885-4278
Entity
Organization
Contact information
Practice address
121 NORTH WASHINGTON, AFTON, WY 83110-1745
(307) 885-4278
(307) 885-4270
Mailing address
PO BOX 1745, 121 NORTH WASHINGTON, AFTON, WY 83110-1745
(307) 885-4278
(307) 885-4270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1564
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114557600
—
WY
Enumeration date
09/20/2006
Last updated
07/18/2013
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