Jesse T Kirkham, DP
Individual provider Active NPI Physical Therapist · Rock Springs, WY
NPI 1487095824 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1487095824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1488 (WY)
- Practice address
- 2241 Foothill Blvd
602
Rock Springs, WY 82901-5698 - Phone
- (307) 382-7888
- Fax
- (307) 382-7444
- NPI assigned
- Jul 15, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1488 | WY | Yes |
Addresses
Primary practice location
2241 Foothill Blvd
602
Rock Springs, WY 82901-5698
Mailing address
2241 Foothill Blvd
602
Rock Springs, WY 82901-5698
Phone (307) 382-7888
Other providers in Rock Springs, WY
- Cameron Franklin Keys
- Mansour Eltaher Khaddr
- Kim C. Kikuts
- Helen D Kim-Sholey
- Kyrstin King
- Christopher Klockman
- Deborah Klug
- Hazel Koenig
- Jessica Kotschwar
- Ludwig F Kroner III
All providers in Rock Springs, 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 Jul 15, 2013. 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.