| Doctor Name: | DR. BRETT JENKS |
| NPI Number: | 1245627447 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, CERT MDT |
| License Number: | PT1552 |
| Business Practice Address: | 2240 Coffeen Ave Ste G Sheridan, WY - 828016288 |
| Business Phone Number: | 3074619669 |
| Business Fax Number: | 3073330355 |
| Mailing Address: | Po Box 7220, SHERIDAN |
| State: | WY |
| Postal Code: | 828017004 |
| Phone Number: | 3074619669 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2015 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT1552 |
| 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 |