Tequesta Bracing

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TEQUESTA BRACING

Practice address

151 E 1St St Ste 141
Powell, WY 82435-2701

Phone

(307) 271-3030

Fax

(307) 333-0082

NPI assigned

Oct 9, 2016

Last updated

May 16, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ibeth Buitrago

Title

Ceo/Director

Phone

(307) 271-3030

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1730639204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 1ST ST STE 141",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352701",
            "telephone_number": "307-271-3030",
            "fax_number": "307-333-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 1ST ST STE 141",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352701",
            "telephone_number": "307-271-3030",
            "fax_number": "307-333-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEQUESTA BRACING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "BUITRAGO",
        "authorized_official_first_name": "IBETH",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "307-271-3030"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Startin, MSW
• Tina Dall States, LPC
• Douglas Sunderland, MSW
• Sunlight Psychiatry
• Katherine Lindsey Swope, M.S., CF-SLP
• Ruth Emily Thompson
• Douglas E Thomy, CRNA
• Conne R Tippetts, OTR/L
• Bryan Kenneth Tipton, PA-C, MPAS
• Jessica L Tobin, D.C.

• Durable Medical Equipment & Medical Supplies in Powell, WY
• Providers in Powell, WY by specialty
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.