Individual
RYAN T VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1526 RUMSEY AVE, CODY, WY 82414
(307) 578-1970
(307) 578-1973
Mailing address
1526 RUMSEY AVE, CODY, WY 82414-3871
(307) 578-1970
(307) 578-1973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3091
NE
Other
Enumeration date
07/24/2012
Last updated
04/05/2019
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