Individual
TANYA L JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
300 LANDMARK DR STE B, CASPER, WY 82609-4233
(307) 472-3327
(307) 472-0297
Mailing address
300 LANDMARK DR STE B, CASPER, WY 82609-4233
(307) 472-3327
(307) 472-0297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1073
WY
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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