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JACKSON HOLE PHYSICAL THERAPY PC NPI 1952484511


NPI Information

NPI: 1952484511
Provider Name: JACKSON HOLE PHYSICAL THERAPY, PC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
4030 LAKE CREEK DR N
WILSON, WY
ZIP 83014
Phone: (307) 734-5292
Get Directions

JACKSON HOLE PHYSICAL THERAPY, PC is an orthopedic physical therapist in Wilson, WY. The provider is 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; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. JACKSON HOLE PHYSICAL THERAPY, PC NPI is 1952484511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4030 LAKE CREEK DR N
WILSON, WY
ZIP 83014-689
Phone: (307) 734-5292
Fax: (307) 734-8834

The provider's authorized official is Tamara Harmon .
The authorized official title is Administrator and has the following contact phone number (307) 734-5292.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105915001OTHERWYOMINGBLUE CROSS OF WY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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