Healthcare Provider Details

I. General information

NPI: 1649428012
Provider Name (Legal Business Name): DANA SPILLMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA BUGAS DPT

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 S MAIN ST STE D
LYMAN WY
82937-5177
US

IV. Provider business mailing address

520 WILKES DR STE 17
GREEN RIVER WY
82935-4854
US

V. Phone/Fax

Practice location:
  • Phone: 307-787-3278
  • Fax:
Mailing address:
  • Phone: 307-875-1788
  • Fax: 307-875-8817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1532
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: