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Dustin Daryl Martinson, PT
Specialist in Gillette, Wyoming
NPI 1073701116

Dustin Daryl Martinson is a Specialist based in Gillette, WY. Dustin Daryl Martinson practices in Gillette, WY and has the professional credentials of PT. The NPI Number for Dustin Daryl Martinson is 1073701116 and holds a License No. PT1215 (Wyoming).

The current practice location address for Dustin Daryl Martinson is 1103 E Boxelder Rd, Gillette, WY and can be reached out via phone at 307-686-8177.

Location: 1103 E Boxelder Rd, Gillette, WY, 82718-5582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073701116
Provider Name
Dustin Daryl Martinson
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1103 E Boxelder Rd, Gillette, WY, 82718-5582
Phone Number
307-686-8177
Fax Number
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W21893 01 WY MEDICARE-NORIDIAN
institution
Provider Business Practice Location Address Details
Address
1103 E Boxelder Rd
City
Gillette
State
Wyoming
Zip
82718-5582
Phone Number
307-686-8177
Fax Number
person
Provider Business Mailing Address Details
Address
1103 E Boxelder Rd
City
Gillette
State
Wyoming
Zip
82718-5582
Phone Number
307-686-8177
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT1215 (Wyoming)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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