Physical Therapist
Dr. NOLA PEACOCK PT, DSc
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1447785829 · enumerated 2017-04-24 · record updated 2017-04-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 11124, JACKSON, WY, 83002-1124 (307) 739-7628 Google Maps Apple Maps OpenStreetMap
- Practice location 555 E BROADWAY AVE, SUITE 113, JACKSON, WY, 83001-8640 (307) 739-7628 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License PT-0665 WY
In this directory
Locations and evidence
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Practice location
JACKSON, WY, 830018640
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.