Sports And Rehabilitation Center Of Wyoming Llc

Specialty details in registry · Jackson, WY

Call (307) 920-1688 Directions

At a glance

625 E Broadway Ave, Jackson, WY 83001-8642

NPPES record updated May 23, 2021. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

625 E Broadway Ave
Jackson, WY 83001-8642
Professional details: NPI, taxonomy & registry record
NPI1063009272
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
225400000X
Enumeration date
Dec 22, 2020
Record updated
May 23, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

225400000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

625 E Broadway Ave
Jackson, WY 83001-8642
Phone
(307) 920-1688
Mailing address
522 N SWEETZER AVE APT 5

LOS ANGELES, CA 900482659
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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