Organization
FULLER PHYSICAL THERAPY AND WELLNESS, LLC
Active
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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