NPI 1720724578

Teng Su

Practitioner Athletic Trainer Cheyenne, WY

Practice location

Address: 4017 Rawlins St, Cheyenne, WY 82001-1800
Phone: (307) 635-2562
Mailing address: 1815 E 20th St, Cheyenne, WY 82001-4132

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 188 (WY)

Other Specialist/Technologist providers in Wyoming →

Registry record

NPI: 1720724578
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2022
Record last updated: 3 Aug 2023

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.