Provider Demographics
NPI:1386010882
Name:TERESA OLER
Entity type:Organization
Organization Name:TERESA OLER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-752-5876
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WY
Mailing Address - Zip Code:82515-0179
Mailing Address - Country:US
Mailing Address - Phone:307-752-5876
Mailing Address - Fax:
Practice Address - Street 1:125 W. 7TH STREET
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WY
Practice Address - Zip Code:82515-2147
Practice Address - Country:US
Practice Address - Phone:307-752-5876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services