Provider Demographics
NPI:1568518686
Name:NUNN, ROSEMARY G (PT)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:G
Last Name:NUNN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 ROAD 84
Mailing Address - Street 2:
Mailing Address - City:LINGLE
Mailing Address - State:WY
Mailing Address - Zip Code:82223-8549
Mailing Address - Country:US
Mailing Address - Phone:307-837-2303
Mailing Address - Fax:
Practice Address - Street 1:3100 W C ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-1604
Practice Address - Country:US
Practice Address - Phone:307-532-7868
Practice Address - Fax:307-532-4641
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-296225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist