| Kimberly Wiley, | |
|
3917 E Pershing Blvd, Cheyenne, WY 82001-6187 | |
| (307) 514-2411 | |
| Not Available |
| Full Name | Kimberly Wiley |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3917 E Pershing Blvd, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609444926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2075 (Wyoming) | Primary |
| Provider Name | David L Wetzel Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790212777 PECOS PAC ID: 6204184849 Enrollment ID: O20180730002599 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Wiley, 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 Ph: () - | Kimberly Wiley, 3917 E Pershing Blvd, Cheyenne, WY 82001-6187 Ph: (307) 514-2411 |
Mrs. Linda Rc Froelicher, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4000 Central Ave, Suite #3, Cheyenne, WY 82001 Phone: 307-634-0298 Fax: 307-634-0837 | |
Nicholas Robert Johnson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Converse Ave Ste B, Cheyenne, WY 82001 Phone: 307-514-2411 Fax: 307-514-2392 | |
Byron Louis Long, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009 Phone: 307-634-2626 Fax: 307-634-5099 | |
Mr. Thomas James Bledsoe, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4017 Rawlins St, Cheyenne, WY 82001 Phone: 307-635-2562 | |
Jace Aaron Marx, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1951 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-773-8533 Fax: 307-635-7578 | |
Sandra Champlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1951 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-773-8533 Fax: 307-635-7578 | |
Dr. Charlene Marie Sheamansmith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4515 E Pershing Blvd Unit C, Cheyenne, WY 82001 Phone: 307-635-2388 Fax: 307-635-1730 |