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Michael Ray Addleman

Physical Therapy Assistant in Cheyenne, WY. Individual provider (NPI-1).

NPI number1336039833
StatusActive
Last updated in NPPESJul 7, 2025

Details

NPI
1336039833
Entity type
Individual (NPI-1)
Name
Michael Ray Addleman
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2025
Certification date
Jul 7, 2025
Last updated
Jul 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA-1054WYYes

Practice location

1951 Bluegrass Cir
Cheyenne, WY 82009-7355

Phone 307-773-8533 · Fax 307-635-7578

Mailing address

1951 Bluegrass Cir
Cheyenne, WY 82009-7355

Phone 307-773-8533 · Fax 307-635-7578

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