Page, Derick

Page, Derick is an sole proprietor health care provider with primary practice located at 1330 Prairie Ave , Cheyenne WY 82009-4842. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Page, Derick can be contacted via phone (307) 778-8997.

Contact Information

Primary practice address
1330 Prairie Ave Cheyenne WY 82009-4842
Phone: (307) 778-8997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2306001374 Virginia

Profile Details

NPI number 1629270624
LBN Legal business name Page, Derick
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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