All Medicaid billing entities listing JACKETTA, MICHAEL (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wyoming | 1 | $19K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WYOMING SPECIALIZED PHYSICAL THERAPY INC. | EVANSTON, WY | Orthopedic Physical Therapist | $19K |