Healthcare Provider Details

I. General information

NPI: 1386170959
Provider Name (Legal Business Name): IN MOTION PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2017
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 CENTER ST
ROCK SPRINGS WY
82901-5105
US

IV. Provider business mailing address

501 CENTER ST
ROCK SPRINGS WY
82901-5105
US

V. Phone/Fax

Practice location:
  • Phone: 307-382-8661
  • Fax: 307-382-8662
Mailing address:
  • Phone: 307-389-8661
  • Fax: 307-382-8662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1494
License Number StateWY

VIII. Authorized Official

Name: ASHLEE CHRISTINE LANSANG
Title or Position: OWNER
Credential: PT, DPT, FDNS
Phone: 307-389-8661