Organization
FULLER PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA ANN FULLER (PT, OWNER)
(307) 262-6372
Entity
Organization
Contact information
Practice address
3510 SOUTH PARK DRIVE, SUITE 4, JACKSON, WY 83002
(307) 262-6372
Mailing address
4240 E HOBACK RIVER RD, JACKSON, WY 83001-8838
(307) 262-6372
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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