Mr Corey Shane Dahl, PT, MPT, OCS in Fort Washakie, WY - Physical Therapist

Mr Corey Shane Dahl, PT, MPT, OCS is a Physical Therapist based in Fort Washakie, Wyoming. Mr Corey Shane Dahl is licensed to practice in Texas (license number 1116838) and his current practice location is 29 Black Coal Drive, Phs Indian Health Center Attn: Physical Therapy Dept., Fort Washakie, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 335-5935.

NPI number for Mr Corey Shane Dahl is 1366578106 and his current mailing address is Po Box 128, Phs Indian Health Center Attn: Physical Therapy Dept., Fort Washakie, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366578106.

Contact Information

	Mr Corey Shane Dahl, PT, MPT, OCS
	29 Black Coal Drive, Phs Indian Health Center Attn: Physical Therapy Dept., Fort Washakie, WY 82514
	(307) 335-5935
	Not Available

Healthcare Provider's Profile

Full Name	Mr Corey Shane Dahl
Gender	Male
Speciality	Physical Therapist
Location	29 Black Coal Drive, Fort Washakie, Wyoming
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1366578106
Provider Enumeration Date: 02/26/2007
Last Update Date: 07/15/2009

Medical Identifiers

Medical identifiers for Mr Corey Shane Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366578106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1116838 (Texas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Corey Shane Dahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Corey Shane Dahl, PT, MPT, OCS Po Box 128, Phs Indian Health Center Attn: Physical Therapy Dept., Fort Washakie, WY 82514 Ph: (307) 335-5935	Mr Corey Shane Dahl, PT, MPT, OCS 29 Black Coal Drive, Phs Indian Health Center Attn: Physical Therapy Dept., Fort Washakie, WY 82514 Ph: (307) 335-5935

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Physical Therapist in Fort Washakie, WY

Miss Dehning Jo Dehning, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Ethete Road, Fort Washakie, WY 82514 Phone: 307-332-3516 Fax: 307-332-9116
Kyle Baker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29 Black Coal Drive, Fort Washakie, WY 82514 Phone: 307-332-7300 Fax: 307-332-3949
Mr. Garth Nelson Foster, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Black Coal Drive, Fort Washakie, WY 82514 Phone: 307-332-7300

Mr Corey Shane Dahl, PT, MPT, OCS - Physical Therapist in Fort Washakie, WY