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

Wyoming Specialized Physical Therapy Inc

Organization Physical Therapist · NPI 1336151265

Wyoming Specialized Physical Therapy Inc is a Physical Therapist in Evanston, Wyoming. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 W Cheyenne Dr
Evanston, WY 82930-5505
Phone: (307) 789-8860
Fax: (307) 789-8394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1336151265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Jacketta — Owner · (307) 789-8860
NPI enumeratedAugust 12, 2006
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021
Mailing address620 W Cheyenne Dr., Evanston, WY 82930-5505

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