Dehning Jo Dehning, MS, PT

Individual provider Active NPI Pediatric Physical Therapist · Fort Washakie, WY

NPI 1003020744 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003020744
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
1052 (WY)
Practice address
90 Ethete Road
Fort Washakie, WY 82514
Phone
(307) 332-3516
Fax
(307) 332-9116
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1052WYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1052 WY Yes

Addresses

Primary practice location

90 Ethete Road
Fort Washakie, WY 82514

Mailing address

235 River PL
Lander, WY 82520-3492
Phone (307) 335-5066

Other providers in Fort Washakie, WY

All providers in Fort Washakie, WY · Pediatric Physical Therapist in Wyoming

Sources for this page

Verify at the official NPI Registry.