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Leo Shane Sanchez, PTA

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

NPI number1982121752
StatusActive
Last updated in NPPESAug 23, 2017

Details

NPI
1982121752
Entity type
Individual (NPI-1)
Name
Leo Shane Sanchez
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 23, 2017
Last updated
Aug 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant0841WYYes

Practice location

820 Sun Valley Dr
Cheyenne, WY 82001-6850

Phone 307-477-0176

Mailing address

820 Sun Valley Dr
Cheyenne, WY 82001-6850

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