IndividualActive
Stacey Byrum
NPI 1477830800 · Athletic Trainer · Gillette, WY
Provider details
- NPI number
- 1477830800
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 008 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1000 Camel Dr
Gillette, WY 82716-4950
Phone: (307) 687-0369
Approximate (ZIP-level) locationGet directions
Mailing address
2907 Silver Ave
Gillette, WY 82716-1601
Registry dates
- Enumerated
- 2011-11-14
- Last updated
- 2011-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.