NPI 1174064992

Jade Kyle Newman, CO

Practitioner Orthotist Cheyenne, WY

Practice location

Address: 2110 Evans Ave, Cheyenne, WY 82001
Phone: (307) 778-6595
Fax: (307) 778-6191
Mailing address: 2110 Evans Ave, Cheyenne, WY 82001-3734

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence C50036

Other Orthotist providers in Wyoming →

Registry record

NPI: 1174064992
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2017
Record last updated: 13 Mar 2017

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.