MEDICARE: MRS. BRITTANY METZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	0710	WY
2	101YM0800X	Mental Health Counselor	2064	WY

General Provider Information

NPI Number	:	1093080426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY METZ

Provider Business Mailing Address
First Line	:	1320 E SHERIDAN ST
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82070-4150
Country	:	US
Telephone Number	:	307-421-5449
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 DEGRAW DR
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82009-7434
Country	:	US
Telephone Number	:	307-421-5449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2012
Last Update Date	:	09/07/2022

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Directions to “ MRS. BRITTANY METZ ” Practice Location

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