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-- KATHLEEN L SLADE -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1720151285
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
1090 S HIGHWAY 89, JACKSON, WY, 83001
Phone
(307) 733-5577
Fax
(307) 733-5505

Specialties & Taxonomies

Physical Therapy Assistant Primary License: WY #PTA-465

All Addresses

MAILING

PO BOX 8467

JACKSON, WY, 830028467

(307) 733-5577

LOCATION

1090 S HIGHWAY 89

JACKSON, WY, 83001

(307) 733-5577