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-- CODI BECKMAN -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1801821384
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
911 FLAG DR, RIVERTON, WY, 825012312
Phone
(307) 857-7074
Fax
(307) 857-1072

Specialties & Taxonomies

Physical Therapy Assistant Primary License: WY #PTA - 455

All Addresses

MAILING

PO BOX 2020

RIVERTON, WY, 825010274

(307) 857-7074

LOCATION

911 FLAG DR

RIVERTON, WY, 825012312

(307) 857-7074