JACKSON HOLE SPORTS RECOVERY LLC


Address: 680 S Cache St Ste 100, Jackson, WY 83001-8694
Phone: 3074394247

JACKSON HOLE SPORTS RECOVERY LLC (NPI# 1255943098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255943098
Entity Type Organization
Organization Name JACKSON HOLE SPORTS RECOVERY LLC
Practice Address 680 S Cache St Ste 100
Jackson
WY 83001-8694
Mailing Address Po Box 880
Jackson
WY 83001-0880
Practice Telephone 3074394247
Enumeration Date 2020-08-22
Last Update Date 2020-08-31
Authorized Official Name GIANNA RISOLI (PHYSICAL THERAPIST, OWNER)
Authorized Official Telephone 3074394257
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 680 S CACHE ST STE 100
City JACKSON
State WY
Zip Code 83001-8694

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
Find all providers in zip 83001

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528690971 Excel Therapy of Nj Corp Clinic/Center 2080 West Countyline Rd, Jackson, NJ 08527-0870 2020-02-04
1073017935 W. A. Foote Memorial Hospital, Inc Clinic/Center 1100 E Michigan Ave Ste 102, Jackson, MI 49201-1800 2018-03-23
1023558525 Agilitas Usa Inc Clinic/Center 120 District Blvd E, Suite D102, Jackson, MS 39211 2017-03-02
1699145490 Inmotion Rehab, LLC Clinic/Center 5140 Galaxie Dr Ste 106, Jackson, MS 39206-4354 2015-10-06
1649613142 Encore Rehabilitation, Inc. Clinic/Center 220 Hospital Dr Bldg B, Jackson, AL 36545-2459 2013-04-15
1730437187 Unique Surfaces LLC Clinic/Center 654 Page Ave, Jackson, MI 49203-1943 2012-08-16
1457656639 Grace Myofascial Clinic, LLC Clinic/Center 3000 Old Canton Rd Ste 240, Jackson, MS 39216-4235 2011-01-19
1699007658 Andrea Marie Dillon Clinic/Center 120 West Pearl Avenue, Jackson, WY 83001 2010-02-02
1821222548 Developmental Physical Therapy Services, LLC Clinic/Center 1355 Hoyt Ln, Jackson, WY 83001-9446 2009-05-09
1477607208 Agilitas Usa, Inc. Clinic/Center 172 W University Pkwy, Ste. C, Jackson, TN 38305-1622 2007-01-22
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Competitor

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City JACKSON
Zip Code 83001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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