OrganizationActive
Blacks Fork Physical Therapy LLC
NPI 1629541982 · Physical Therapy Clinic/Center · Evanston, WY
Provider details
- NPI number
- 1629541982
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brady Stokes, Physical Therapist/Owner
Mailing address
3792 Almy Road 107
Evanston, WY 82930-8940
Registry dates
- Enumerated
- 2019-01-09
- Last updated
- 2019-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.