Individual
SUMMER L ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT,PT
Contact information
Practice address
3905 E GRAND AVE STE 200, LARAMIE, WY 82070-5189
(307) 742-2082
(307) 742-2075
Mailing address
3905 E GRAND AVE STE 200, LARAMIE, WY 82070-5189
(307) 742-2082
(307) 742-2075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2094
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-2094
LICENSE NUMBER
WY
Enumeration date
08/18/2021
Last updated
10/30/2024
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