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SMART SPORTS MEDICINE LLC NPI 1114408739


NPI Information

NPI: 1114408739
Provider Name: SMART SPORTS MEDICINE LLC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
5307 YELLOWSTONE RD
CHEYENNE, WY
ZIP 82009
Phone: (307) 632-7677
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SMART SPORTS MEDICINE LLC is a sports medicine physical medicine rehabilitation in Cheyenne, WY. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. SMART SPORTS MEDICINE LLC NPI is 1114408739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5307 YELLOWSTONE RD
CHEYENNE, WY
ZIP 82009-736
Phone: (307) 632-7677
Fax: (307) 778-8292

The provider's authorized official is Vincent J. Ross .
The authorized official title is President and has the following contact phone number (307) 632-7677.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 8/22/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081S0010XPhysical Medicine & RehabilitationSports Medicine3871AWYOMINGYes

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: 4/28/2024

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