Lance Krunosky, LPTA
Individual provider Active NPI Physical Therapy Assistant · Douglas, WY
NPI 1134044845 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1134044845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 12497 (AL)
- Practice address
- 111 S 5TH St
Douglas, WY 82633-2434 - Phone
- (307) 358-9464
- Fax
- (307) 358-9330
- NPI assigned
- Aug 11, 2026
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 12497 | AL | Yes |
Addresses
Primary practice location
111 S 5TH St
Douglas, WY 82633-2434
Mailing address
5830 Granite Pkwy Ste 800
Plano, TX 75024-6775
Phone (469) 694-0660
Other providers in Douglas, WY
- Christine M Kirby
- Tiffany Rose Knighten
- Shauna R Kohler
- W Scott Kreycik
- Thomas F Kroenke
- Callie Americus Kunz
- Rickie L Labounta
- Laramie Peak Therapies, LLC
- Elijah Lee
- Shea Lehnen
All providers in Douglas, WY · Physical Therapy Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.