Healthcare Provider Details

I. General information

NPI: 1659602555
Provider Name (Legal Business Name): LAURA VARNER OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2010
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 E MAIN ST STE B
LANDER WY
82520-3470
US

IV. Provider business mailing address

545 E MAIN ST STE B
LANDER WY
82520-3470
US

V. Phone/Fax

Practice location:
  • Phone: 307-335-3471
  • Fax: 307-332-5388
Mailing address:
  • Phone: 307-335-3471
  • Fax: 307-332-5388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-962
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT-962
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: