| Krysten Gayle Sommerville, OTR | |
|
120 W Pearl Ave, Jackson, WY 83001-8657 | |
| (307) 734-9129 | |
| Not Available |
| Full Name | Krysten Gayle Sommerville |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 120 W Pearl Ave, Jackson, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912681040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | North Lincoln County Hospital District |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
| Provider Name | Excel Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356414684 PECOS PAC ID: 0345242178 Enrollment ID: O20070208000079 |
| Provider Name | North Lincoln County Hospital District |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1255376406 PECOS PAC ID: 4789580218 Enrollment ID: O20101103000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Krysten Gayle Sommerville, OTR Po Box 2654, Alpine, WY 83128 Ph: (432) 770-6257 | Krysten Gayle Sommerville, OTR 120 W Pearl Ave, Jackson, WY 83001-8657 Ph: (307) 734-9129 |
Lisa G Robertson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 East Broadway, Suite 100, Jackson, WY 83001 Phone: 307-200-9520 | |
Julia Marie Andracki, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 E Broadway Ave, Jackson, WY 83001 Phone: 307-734-2877 Fax: 307-734-2827 | |
Alexandra Grace Stone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway Ave # 100, Jackson, WY 83001 Phone: 307-739-1864 | |
Kristopher T Allison, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, Suite 100, Jackson, WY 83002 Phone: 307-739-7491 | |
Teton Hand Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 East Broadway, Jackson, WY 83001 Phone: 307-734-2877 | |
New Vision Rehabilitation Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 West Pearl Ave, Jackson, WY 83001 Phone: 307-699-7478 | |
Jennifer Baxter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 185 South Willow, Jackson, WY 83001 Phone: 307-733-3791 |