NPI 1053986430

Mary Ann Mullane, PT

Practitioner Physical Therapist Jackson, WY

Practice location

Address: 1090 S Hwy 89, Jackson, WY 83001-8511
Phone: (307) 733-5577
Mailing address: 707 Fathom Dr APT 208, San Mateo, CA 94404-1066

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 32381 (CA)

Other Physical Therapist providers in Wyoming →

Registry record

NPI: 1053986430
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2021
Record last updated: 26 May 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.