NPI 1477830800

Stacey Byrum

Practitioner Athletic Trainer Gillette, WY

Practice location

Address: 1000 Camel Dr, Gillette, WY 82716-4950
Phone: (307) 687-0369
Mailing address: 2907 Silver Ave, Gillette, WY 82716-1601

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 008 (WY)

Other Specialist/Technologist providers in Wyoming →

Registry record

NPI: 1477830800
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2011
Record last updated: 14 Nov 2011

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.