Doctor Name: | MYRIAH WARREN |
NPI Number: | 1114390408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT-1608 |
Business Practice Address: | 1102 W Spruce St Rawlins, WY - 823015335 |
Business Phone Number: | 3073709175 |
Business Fax Number: | 3073709177 |
Mailing Address: | 2002 W Sunset Dr, Suite 1 RIVERTON |
State: | WY |
Postal Code: | 825012283 |
Phone Number: | 3078567021 |
Fax Number: | 3078565546 |
NPI Enumeration Date: | 11/09/2015 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-1608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |