Sports and Rehabilitation Center of Wyoming LLC
Sports and Rehabilitation Center of Wyoming LLC provides Rehabilitation Practitioner services in Jackson, Wyoming. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
625 E Broadway AveJackson, WY 83001-8642
Phone: (307) 920-1688
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1063009272 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Austin Hammesfahr — Manager · (310) 307-9670 |
| NPI enumerated | December 22, 2020 |
| Last updated in NPPES | May 23, 2021 |
| Certification date | May 23, 2021 |
| Mailing address | 522 N Sweetzer Ave Apt 5, Los Angeles, CA 90048-2659 |