IndividualActive
Jade Newman, C.O.
NPI 1174064992 · Orthotist · Cheyenne, WY
Provider details
- NPI number
- 1174064992
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.O.
- Sex
- Male
- Sole proprietor
- No
- License
- C50036
Practice location
2110 Evans Ave
Cheyenne, WY 82001
Phone: (307) 778-6595
Fax: (307) 778-6191
Mailing address
2110 Evans Ave
Cheyenne, WY 82001-3734
Registry dates
- Enumerated
- 2017-03-13
- Last updated
- 2017-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.