Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE BLEAK, PT
Active Sole ProprietorMRS. NICOLE BLEAK, PT is a Physical Therapy Assistant healthcare provider located in LARAMIE, Wyoming. NPI 1588555486 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LARAMIE, WY
Registration Details
- NPI Number
- 1588555486
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2025 (1.0625450018059 yrs)
- Last Updated
- Jul 10, 2025
- License
-
PT0907 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 S 20TH STLARAMIE, WY, 820704311Browse WY providers · Browse ZIP 82070
- Phone
- 3077605898
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LARAMIE, WY
| Name | Credential | NPI |
|---|---|---|
| LUANN S HERKSTROETER | P.T. | 1619963014 |
| STEPHEN B KAISER | PT | 1891775862 |
| ROBERTA BOLTZ | PT | 1548240500 |
| MARTHA MARTINEZ DELRIO | PT | 1710967666 |
| LORI J FRANC | PT | 1275513673 |
| JERI BLACK-FARBER | PT | 1083694483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.