Individual
KATELYN LEE PERTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1220 ELK MOUNTAIN CIR, GREEN RIVER, WY 82935-5512
(701) 426-5433
Mailing address
1220 ELK MOUNTAIN CIR, GREEN RIVER, WY 82935-5512
(307) 871-1693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1412
WY
Other
Enumeration date
03/29/2012
Last updated
03/04/2017
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