NPI 1710271630

Clancy Clyde Brown, DPTCSCS

Practitioner Physical Therapist Thayne, WY

Practice location

Address: 124 Petersen Pkwy STE 1, Thayne, WY 83127-9754
Phone: (307) 883-7878
Fax: (307) 883-7877

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1366 (WY)

Other Physical Therapist providers in Wyoming →

Registry record

NPI: 1710271630
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2011
Record last updated: 12 Dec 2012

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.