NPI 1053796003
Cassandra Ann Fuller, DPT
Practice location
- Address
- 5310 South Park Drive Suite 4, Jackson, WY 83002
- Phone
- (307) 262-6372
- Fax
- (307) 200-6403
- Mailing address
- PO Box 7811, Jackson, WY 83002-7811
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1053796003
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jul 2015
- Record last updated
- 7 Mar 2024
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.