Individual
SAVANNAH JESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 W CHEYENNE DR, EVANSTON, WY 82930-5505
(307) 789-8860
Mailing address
124 PETERSEN PKWY STE 4, THAYNE, WY 83127-9754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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