Physcial Therapy Of Star Valley, Llc | |
124 Petersen Parkway, Thayne, WY 83127-0954 | |
(307) 883-7878 | |
(307) 883-7877 |
Full Name | Physcial Therapy Of Star Valley, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 124 Petersen Parkway, Thayne, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982634879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT948 (Wyoming) | Primary |
Mailing Address | Practice Location Address |
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Physcial Therapy Of Star Valley, Llc Po Box 932, Thayne, WY 83127-0932 Ph: (307) 883-7878 | Physcial Therapy Of Star Valley, Llc 124 Petersen Parkway, Thayne, WY 83127-0954 Ph: (307) 883-7878 |
Dr. Hayden Glen Datwyler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-7878 | |
Jimmy Douglas Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway, #1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 | |
Dr. Kevin Baldwin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 | |
Kenneth Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 487a North Main St, Thayne, WY 83127 Phone: 307-883-8877 Fax: 307-883-8876 | |
Dr. Clancy Clyde Brown, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Petersen Pkwy Ste 1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 | |
Daniel Dean Jeske, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway #1, Thayne, WY 83127 Phone: 307-883-7878 | |
David Stoker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 487a N Main St, Thayne, WY 83127 Phone: 307-883-8877 Fax: 307-883-8876 |