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Individual

JOSHUA HAYDEN WILLOUGHBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1575 N 4TH ST STE 101, LARAMIE, WY 82072-2091
(307) 745-5434
Mailing address
PO BOX 113, BIG PINEY, WY 83113-0113
(307) 260-3117

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1144
WY

Other

Enumeration date
05/07/2025
Last updated
05/07/2025
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