Chelsea Davis
Day Training, Developmentally Disabled Services in Fort Bridger, WY. Individual provider (NPI-1).
NPI number1104734086
StatusActive
Last updated in NPPESAug 31, 2026
Details
- NPI
- 1104734086
- Entity type
- Individual (NPI-1)
- Name
- Chelsea Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2026
- Certification date
- Aug 31, 2026
- Last updated
- Aug 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Other names
- Chelsea Roden (Former Name)
Practice location
10 Threemile Creek RdFort Bridger, WY 82933-8835
Phone 307-220-1188
Mailing address
10 Threemile Creek RdFort Bridger, WY 82933-8835
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