Individual
CORTLAND KYLE DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1771 CENTENNIAL DR, LARAMIE, WY 82070-8403
(307) 742-6374
Mailing address
258 W BRADLEY ST, LARAMIE, WY 82072-2404
(801) 866-8172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2097
WY
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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