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NPI 1982631057

NPI 1982631057 : MICHELLE K GILMER O.T.R., DPT, MSHA : SHERIDAN, WY

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General NPI Number Information
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    NPI Number           |    1982631057
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE K GILMER O.T.R., DPT, MSHA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/26/2006
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    1949 SUGARLAND DRIVE SUITE 200
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    City                 |    SHERIDAN
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    State                |    WY
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    Zip                  |    82801-5755
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    Country              |    US
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    Telephone            |    307-461-9891
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    Fax                  |    307-939-7097
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Provider Business Mailing Address
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    Address Line         |    1949 SUGARLAND DRIVE SUITE 200
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    City                 |    SHERIDAN
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    State                |    WY
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    Zip                  |    82801-5755
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    Country              |    US
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    Telephone            |    307-461-9891
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    Fax                  |    307-939-7097
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    10223
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    2269
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    886
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    License Number State |    WY
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1358
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    License Number State |    WY
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