NPI 1366578106

Corey Shane Dahl, PTMPTOCS

Practitioner Physical Therapist Fort Washakie, WY

Practice location

Address: 29 Black Coal Drive Phs Indian Health Center Attn: Physical Therapy Dept., Fort Washakie, WY 82514
Phone: (307) 335-5935
Mailing address: PO Box 128 Phs Indian Health Center Attn: Physical Therapy Dept., Fort Washakie, WY 82514

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1116838 (TX)

Other Physical Therapist providers in Wyoming →

Registry record

NPI: 1366578106
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Feb 2007
Record last updated: 15 Jul 2009

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.