Individual
KATELYN MARIE SANDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4515 E PERSHING BLVD, CHEYENNE, WY 82001-6092
(307) 635-2388
Mailing address
4515 E PERSHING BLVD, CHEYENNE, WY 82001-6092
(307) 635-2388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-1157
WY
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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