NPI 1013584747

Thomas Jake Andrew, PTDPT

Practitioner Physical Therapist Gillette, WY

Practice location

Address: 508 Stocktrail Ave STE D, Gillette, WY 82716-3582
Phone: (307) 688-8000
Mailing address: 802 Running W Dr, Gillette, WY 82718-2021

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-1983 (WY)

Other Physical Therapist providers in Wyoming →

Registry record

NPI: 1013584747
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2021
Record last updated: 10 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.