NPI 1922643568

Elisa Detling, PTA

Practitioner Physical Medicine & Rehabilitation Physician Rawlins, WY

Practice location

Address: 1102 W Spruce St, Rawlins, WY 82301-5335
Phone: (307) 370-9175

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 0825 (WY)

Other Physical Medicine & Rehabilitation providers in Wyoming →

Registry record

NPI: 1922643568
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2019
Record last updated: 7 Nov 2019

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.