Wyoming Specialized Physical Therapy Inc. in Evanston - Orthopedic
Wyoming Specialized Physical Therapy Inc. - NPI 1336151265
Wyoming Specialized Physical Therapy Inc. is a Orthopedic in Evanston, . Wyoming Specialized Physical Therapy Inc. practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Wyoming Specialized Physical Therapy Inc. is 1336151265. The last update date is 2021-11-01.
Wyoming Specialized Physical Therapy Inc.'s current location address is 620 W Cheyenne Dr., Evanston, . You can contact this provider via phone number 3077898860 and fax number 3077898394. The mailing address for Wyoming Specialized Physical Therapy Inc. is 620 W Cheyenne Dr., Evanston, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wyoming Specialized Physical Therapy Inc. |
|---|---|
| Address | 620 W Cheyenne Dr., Evanston, |
| Phone Number | 3077898860 |
| Fax Number | 3077898394 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jacketta G Michael |
| Credentials | DPT OCS |
| Telephone Number | 3077898860 |
NPI Number Detail
| NPI Number | 1336151265 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2021-11-01 |
Provider Mailing Address Detail
| Address | 620 W Cheyenne Dr. |
|---|---|
| City | Evanston |
| State | (WY) |
| Post Code | 829305505 |
| Phone Number | 3077898860 |
| Fax Number | 3077898394 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118279000 | WY | -- |
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What is the unique 10-digit identification code issued to Wyoming Specialized Physical Therapy Inc. by the Centers for Medicare & Medicaid Services?
The Wyoming Specialized Physical Therapy Inc. has been assigned the NPI (National Provider Identifier) 1336151265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Wyoming Specialized Physical Therapy Inc. located?
The Wyoming Specialized Physical Therapy Inc. is located at 620 W Cheyenne Dr., Evanston, WY 829305505.
What is Wyoming Specialized Physical Therapy Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wyoming Specialized Physical Therapy Inc. is Orthopedic, and the taxonomy code that categorizes this field of expertise is 2251X0800X.
On what date did the Wyoming Specialized Physical Therapy Inc. receive its 1336151265 assignment from the Centers for Medicare & Medicaid Services?
The Wyoming Specialized Physical Therapy Inc. was assigned its 1336151265 by the Centers for Medicare & Medicaid Services on 2006-08-12.
When was the Wyoming Specialized Physical Therapy Inc.'s information last updated?
The Wyoming Specialized Physical Therapy Inc.'s information was last updated on 2021-11-01.