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Contact Information

KEITH R KNUDSON, DPT
1230 NORTH FALL CREEK RD
WILSON, WY83014
 Phone: 307-699-7667
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEITH R KNUDSON · (Male)

NPI Number 1316551633
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 09/03/2020
Last updated 10/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WY License # PT-1991
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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