Provider Demographics
NPI:1063468270
Name:BARTLETT, FRANCINE P (PT, ATC)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:P
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WEST PEARL AVE
Mailing Address - Street 2:P.O. BOX 8857
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83002-8857
Mailing Address - Country:US
Mailing Address - Phone:307-734-9129
Mailing Address - Fax:
Practice Address - Street 1:120 WEST PEARL AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83002
Practice Address - Country:US
Practice Address - Phone:307-734-9129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist