NPI: 1336151265 · EVANSTON, WY 82930 · Orthopedic Physical Therapist · NPI assigned 08/12/2006
| Authorized Official | JACKETTA, MICHAEL (OWNER) |
| NPI Enumeration Date | 08/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 231 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 231 | 53 | $19K |