Individual
MR. LADELL MERRITT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1235
(307) 754-3792
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-956
WY
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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