Individual provider · Type 1 NPI

Mark R. Shane, DC

Chiropractor · Cody, WY

NPI number 1306977467 Active

Practice location

1708 Stampede Ave, Suite C
Cody, WY 82414-4829

Call (307) 587-5591 Map

Fax (307) 587-4399

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X747 (WY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1306977467

Mark R. Shane, DC's National Provider Identifier is 1306977467, issued on Mar 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Cody, WY. The record was last updated on Aug 17, 2015.