Individual
CODI BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
911 FLAG DR, RIVERTON, WY 82501-2312
(307) 857-7074
(307) 857-1072
Mailing address
PO BOX 2020, RIVERTON, WY 82501-0274
(307) 857-7074
(307) 857-1072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA - 455
WY
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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