OrganizationActive
Cowboy State Therapy LLC
NPI 1083598122 · Pediatric Occupational Therapist · Cheyenne, WY
Provider details
- NPI number
- 1083598122
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brock Wahlert, Occupational Therapist(719) 821-3911
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7008 Hawthorne Dr
Cheyenne, WY 82009-2513
Phone: (720) 917-5557
Approximate (ZIP-level) locationGet directions
Mailing address
247 Stinson Ave
Cheyenne, WY 82007-1112
Additional practice locations (1)
- 247 Stinson AveCheyenne, WY 82007-1112Phone: (719) 821-3911
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-03
- Certified
- 2025-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.