Physio 2 Sport L.L.C.
Organization Active NPI Physical Therapist · Lagrange, WY
NPI 1154856110 · NPPES record last updated Apr 27, 2017
Key facts
- NPI
- 1154856110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1404 (WY)
- Legal business name
- PHYSIO 2 SPORT L.L.C.
- Practice address
- 560 2ND Avenue
Suite 217
Lagrange, WY 82221 - Phone
- (307) 630-0740
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Taryn Kilty, D.P.T.
- Title
- Owner
- Phone
- (307) 630-0740
National Provider Directory
Locations
315 W 18th St
Cheyenne, WY 82001
Phone (307) 630-0740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 1404 | WY | Yes |
Addresses
Primary practice location
560 2ND Avenue
Suite 217
Lagrange, WY 82221
Mailing address
PO Box 88
Lagrange, WY 82221
Other providers in Lagrange, WY
All providers in Lagrange, WY · Physical Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2017. 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.