Provider Demographics
NPI:1801587084
Name:PORRECO, SECIA (DPT)
Entity type:Individual
Prefix:
First Name:SECIA
Middle Name:
Last Name:PORRECO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1217 S GREELEY HWY STE A
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82007-3063
Mailing Address - Country:US
Mailing Address - Phone:970-372-1146
Mailing Address - Fax:970-223-8219
Practice Address - Street 1:5320 EDUCATION DR
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4058
Practice Address - Country:US
Practice Address - Phone:307-772-0955
Practice Address - Fax:907-772-0953
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-08-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist