Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pro Physical Therapy LLC

Organization Physical Therapist · NPI 1164619078

Pro Physical Therapy LLC is a Physical Therapist in Diamondville, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.

Licensed in
WY
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Adaville Dr Ste 10
Diamondville, WY 83116
Phone: (307) 877-1000
Fax: (307) 877-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 802 (WY)

Record details

NPI number1164619078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dallas Clark — Owner/Physical Therapist · (435) 946-3512
NPI enumeratedSeptember 25, 2007
Last updated in NPPESSeptember 25, 2007
Mailing addressPo Box 152, Laketown, UT 84038-0152

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