| Sky Physical Therapy Inc. | |
|
970 W Broadway Jackson WY 83001-9475 | |
| (307) 733-7173 | |
| Not Available |
| Full Name | Sky Physical Therapy Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 970 W Broadway, Jackson, Wyoming |
| Authorized Official Name and Position | Brian Van Hatten (OWNER) |
| Authorized Official Contact | 3077337173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sky Physical Therapy Inc. Po Box 9163 Jackson WY 83002-9163 Ph: (307) 733-7173 | Sky Physical Therapy Inc. 970 W Broadway Jackson WY 83001-9475 Ph: (307) 733-7173 |
| NPI Number | 1710172796 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710172796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 325 (Wyoming) | Primary |
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