Individual
AMY RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
487A NORTH MAIN ST, THAYNE, WY 83127
(307) 883-8877
(307) 883-8876
Mailing address
PO BOX 1281, THAYNE, WY 83127-1281
(307) 880-2230
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA-003
WY
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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