IndividualActive
Sally Whitman, PA-C
NPI 1629034848 · Medical Physician Assistant · Cody, WY
Provider details
- NPI number
- 1629034848
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 316 TL (WY)
Practice location
721 Sheridan Ave
Ste 220
Cody, WY 82414-3423
Phone: (307) 587-1155
Fax: (307) 587-1166
Mailing address
721 Sheridan Ave
Cody, WY 82414-3423
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.