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General NPI Number Information
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NPI Number | 1831624881
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Entity Type | Organization
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Legal Business Name | WINDS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 23 PINE STREET
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City | PINEDALE
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State | WY
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Zip | 82941
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Country | US
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Telephone | 307-367-4044
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Fax | 307-367-4390
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Provider Business Mailing Address
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Address Line | PO BOX 702
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City | PINEDALE
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State | WY
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Zip | 82941-0702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | REGI MORITSCH
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Credential |
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Telephone | 307-360-6092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1213
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License Number State | WY
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