Gillette Physical Therapy Pc

LBN: Gillette Physical Therapy Pc
Gillette Physical Therapy Pc is an health care organization with primary practice located at 1013 East Boxelder , Gillette WY 82718-5536. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Gillette Physical Therapy Pc can be contacted via phone (307) 682-4900, or through Clouston, Kenneth L via phone (307) 682-4900.

Contact Information

Primary practice address
1013 East Boxelder Gillette WY 82718-5536
Phone: (307) 682-4900
Fax: (307) 687-7243
Website:
Map and Directions
Authorized official contact:
Name: Clouston, Kenneth L DPT
Phone: (307) 682-4900

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1154379998
LBN Legal business name Gillette Physical Therapy Pc
DBA Doing business as
Authorized official Clouston, Kenneth L DPT
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Mar 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154379998 NPPES
Wyoming MEDICAID 120766100

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