Randi Barman, PTA

Individual provider Active NPI Physical Therapy Assistant · Cheyenne, WY

NPI 1316627284 · NPPES record last updated Jul 24, 2023

Key facts

NPI
1316627284
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA1064 (WY)
Practice address
1951 Bluegrass Cir
Cheyenne, WY 82009-7355
Phone
(307) 773-8533
Fax
(307) 635-7578
NPI assigned
Jul 24, 2023
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

State licenses

LicenseStateTypeSpecialty
PTA1064WYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1064 WY Yes

Addresses

Primary practice location

1951 Bluegrass Cir
Cheyenne, WY 82009-7355

Mailing address

1951 Bluegrass Cir
Cheyenne, WY 82009-7355
Phone (307) 773-8533

Other providers in Cheyenne, WY

All providers in Cheyenne, WY · Physical Therapy Assistant in Wyoming

Sources for this page

Verify at the official NPI Registry.