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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELISA DETLING, PTA

Active

ELISA DETLING, PTA is a Physical Medicine & Rehabilitation healthcare provider located in RAWLINS, Wyoming. NPI 1922643568 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · RAWLINS, WY

Registration Details

NPI Number
1922643568
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2019 (6.6242566471842 yrs)
Last Updated
Nov 7, 2019
License
0825 (WY)

Practice Information

Address
1102 W SPRUCE ST
RAWLINS, WY, 823015335
Browse WY providers · Browse ZIP 82301
Phone
3073709175
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
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.