NPI 1356895148

Lacy Martin

Practitioner Physical Therapist Cody, WY

Practice location

Address: 544 Yellowstone Ave, Cody, WY 82414-9300
Phone: (307) 587-9789
Fax: (307) 587-9787

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1885 (WY)

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Registry record

NPI: 1356895148
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2016
Record last updated: 5 Dec 2022

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.