Michelle Chouinard

Individual provider Active NPI Developmental Therapist · Powell, WY

NPI 1700242518 · NPPES record last updated Jan 8, 2016

Key facts

NPI
1700242518
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
365 S Evarts St
Powell, WY 82435-2919
Phone
(307) 202-1387
NPI assigned
Jan 8, 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
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

365 S Evarts St
Powell, WY 82435-2919

Mailing address

365 S Evarts St
Powell, WY 82435-2919
Phone (307) 202-1387

Other providers in Powell, WY

All providers in Powell, WY · Developmental Therapist in Wyoming

Sources for this page

Verify at the official NPI Registry.