Healthcare Provider Details

I. General information

NPI: 1841121043
Provider Name (Legal Business Name): VISION IN MOTION THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 BOYD AVE
CASPER WY
82604-3460
US

IV. Provider business mailing address

2204 BOYD AVE
CASPER WY
82604-3460
US

V. Phone/Fax

Practice location:
  • Phone: 719-506-5544
  • Fax:
Mailing address:
  • Phone: 719-506-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAITLYNN ROSE VIGNAROLI
Title or Position: OCCUPATIONAL THERAPIST, OWNER
Credential: MOTR/L
Phone: 719-506-5544