Provider Demographics
NPI:1093080426
Name:METZ, BRITTANY
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:METZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:MARLOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1320 E SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-4150
Mailing Address - Country:US
Mailing Address - Phone:307-421-5449
Mailing Address - Fax:
Practice Address - Street 1:2601 DEGRAW DR
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-7434
Practice Address - Country:US
Practice Address - Phone:307-421-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY0710225200000X
WY2064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant