OrganizationActive
Impact Physical Therapy LLC
NPI 1699159723 · Physical Therapy Clinic/Center · Evanston, WY
Provider details
- NPI number
- 1699159723
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Dennis, Owner(801) 209-4466
- License
- PT 1683 (WY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
96 Yellow Creek Road
Evanston, WY 82930
Phone: (307) 444-4466
Fax: (307) 444-4468
Approximate (ZIP-level) locationGet directions
Mailing address
96 Yellow Creek Road
Evanston, WY 82930
Other names (DBA / former)
- Doing business as
- Impact Physical Therapy
Registry dates
- Enumerated
- 2015-07-18
- Last updated
- 2017-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.