MEDICARE: MISS ASHLEE CHRISTINE LANSANG PT, DPT

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	225100000X	Physical Therapist	1494	WY

General Provider Information

NPI Number	:	1386076057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ASHLEE CHRISTINE LANSANG PT, DPT

Provider Business Mailing Address
First Line	:	525 B ST
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-6212
Country	:	US
Telephone Number	:	307-389-8661
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 CENTER ST
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-5105
Country	:	US
Telephone Number	:	307-382-8661
Fax Number	:	307-382-8662

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

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	05/26/2022

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Directions to “ MISS ASHLEE CHRISTINE LANSANG PT, DPT” Practice Location

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