Individual
TENG SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 635-2562
Mailing address
1815 E 20TH ST, CHEYENNE, WY 82001-4132
(509) 388-8549
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
188
WY
Other
Enumeration date
05/05/2022
Last updated
08/03/2023
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