IndividualActive
Brian Prax, MA PT
NPI 1659454205 · Physical Therapist · Jackson, WY
Provider details
- NPI number
- 1659454205
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MA PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT-693 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
185 Powderhorn Ln
Jackson, WY 83001-8426
Phone: (307) 200-1332
Fax: (307) 203-2255
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3185
Jackson, WY 83001-3185
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2016-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.