Provider Demographics
NPI:1790431674
Name:HAND THERAPY OF WYOMING DOUGLAS/CASPER
Entity Type:Organization
Organization Name:HAND THERAPY OF WYOMING DOUGLAS/CASPER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEFERT
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L
Authorized Official - Phone:307-756-2013
Mailing Address - Street 1:1211 S DOUGLAS HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-4982
Mailing Address - Country:US
Mailing Address - Phone:307-685-3375
Mailing Address - Fax:
Practice Address - Street 1:102 BROWNFIELD RD
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:WY
Practice Address - Zip Code:82633-2555
Practice Address - Country:US
Practice Address - Phone:307-670-9191
Practice Address - Fax:307-670-9193
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAND THERAPY OF WYOMING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-01
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty