Organization · Type 2 NPI
Wellness Wagon
Clinic/Center · Lingle, WY
NPI number
1063005940
Active
Practice location
208 Main St #12
Lingle, WY 82223
Mailing address
PO Box 2417
Cheyenne, WY 82003-2417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1063005940
Wellness Wagon's National Provider Identifier is 1063005940, issued on Feb 11, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lingle, WY. The record was last updated on Jul 20, 2023.