OrganizationActive
Developmental Physical Therapy Services, LLC
NPI 1821222548 · Physical Therapy Clinic/Center · Jackson, WY
Provider details
- NPI number
- 1821222548
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Diana Mcdonald, Physical Therapist(307) 413-4880
- License
- 175 (WY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1355 Hoyt Ln
Jackson, WY 83001-9446
Phone: (307) 413-4880
Approximate (ZIP-level) locationGet directions
Mailing address
1355 Hoyt Ln
Jackson, WY 83001-9446
Registry dates
- Enumerated
- 2009-05-09
- Last updated
- 2011-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.