Individual
CHET ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
121 NORTH WASHINGTON ST., AFTON, WY 83110-1745
(307) 885-4278
(307) 885-4270
Mailing address
PO BOX 1745, 121 N. WASHINGTON ST, AFTON, WY 83110-1745
(307) 885-4278
(307) 885-4270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 940
WY
Other
Enumeration date
10/19/2006
Last updated
07/09/2007
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