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Search › Wyoming › 225200000X

Jessica Long, PTA

NPI 1811758204 · on the registry since 2024

Practice

Address
548 Running W Dr
Gillette, WY 82718
Phone
(307) 670-9444
Fax
(307) 670-9188
Organisation at this address
Core 307 Pt Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming