Individual
SARAH M THRAILKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1801 S 4J RD, GILLETTE, WY 82718-5201
(076) 822-3923
Mailing address
1801 S 4J RD, GILLETTE, WY 82718-5201
(307) 682-2392
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1193
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942436530
—
WY
01
—
LICENSE # PT1193
LICENSE # PT 1193
WY
Enumeration date
06/09/2009
Last updated
11/18/2021
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