Individual
MATTHEW HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1807 COPPERVILLE RD, CHEYENNE, WY 82001-6544
(307) 286-0382
Mailing address
PO BOX 21673, CHEYENNE, WY 82003-7031
(307) 286-0382
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WY
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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