NPI 1871106518

Jesse Luke Mann, PTA

Practitioner Physical Therapy Assistant Laramie, WY

Practice location

Address: 503 S 18th St, Laramie, WY 82070-4303
Phone: (307) 742-3728
Mailing address: 2120 Binford St APT 302, Laramie, WY 82072-5380

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-1022 (WY)

Other Physical Therapy Assistant providers in Wyoming →

Registry record

NPI: 1871106518
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2020
Record last updated: 24 Aug 2020

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.