| Dr Clancy Clyde Brown, DPT, CSCS | |
|
124 Petersen Pkwy Ste 1, Thayne, WY 83127-9754 | |
| (307) 883-7878 | |
| (307) 883-7877 |
| Full Name | Dr Clancy Clyde Brown |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 124 Petersen Pkwy Ste 1, Thayne, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710271630 | NPI | - | NPPES |
| 121989800 | Medicaid | WY | |
| 103956300 | Medicaid | WY | |
| 117016300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1366 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clancy Clyde Brown, DPT, CSCS 124 Petersen Pkwy Ste 1, Thayne, WY 83127-9754 Ph: (307) 883-7878 | Dr Clancy Clyde Brown, DPT, CSCS 124 Petersen Pkwy Ste 1, Thayne, WY 83127-9754 Ph: (307) 883-7878 |
Dr. Hayden Glen Datwyler, DPT Physical Therapist Medicare: Accepting Medicare Assignments 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 |
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 |
Daniel Dean Jeske, PT Physical Therapist Medicare: Accepting Medicare Assignments 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 |
Mr. David Matthew Johnson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway #6, Suite 1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 |
Physcial Therapy Of Star Valley, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 |