Provider Demographics
NPI:1124429162
Name:GIRMUS, HOLLY J (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:J
Last Name:GIRMUS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
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Mailing Address - Street 1:1951 BLUEGRASS CIRCLE CHAMPLIN PHYSICAL THERAPY, LLC
Mailing Address - Street 2:(DBA: PHYSICAL THERAPY CENTER OF WY)
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-7355
Mailing Address - Country:US
Mailing Address - Phone:307-773-8533
Mailing Address - Fax:307-635-7578
Practice Address - Street 1:1951 BLUEGRASS CIRCLE CHAMPLIN PHYSICAL THERAPY, LLC
Practice Address - Street 2:(DBA: PHYSICAL THERAPY CENTER OF WY)
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-7355
Practice Address - Country:US
Practice Address - Phone:307-773-8533
Practice Address - Fax:307-635-7578
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WYPT-1262225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist