Suzette Jewel

Individual provider Active NPI Rehabilitation Practitioner · Lovell, WY

NPI 1033577333 · NPPES record last updated Feb 2, 2016

Key facts

NPI
1033577333
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
607 Nevada Ave
Lovell, WY 82431-1934
Phone
(307) 272-5451
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

607 Nevada Ave
Lovell, WY 82431-1934

Mailing address

607 Nevada Ave
Lovell, WY 82431-1934
Phone (307) 272-5451

Other providers in Lovell, WY

All providers in Lovell, WY · Rehabilitation Practitioner in Wyoming

Sources for this page

Verify at the official NPI Registry.