Organization · Type 2 NPI
Chiropractic and Sports Injury Center of Jackson Hole PC
Chiropractor · Jackson, WY
NPI number
1386712545
Active
Practice location
215 Scott Lane
Jackson, WY 83001
Fax (307) 734-8584
Mailing address
PO Box 10039
Jackson, WY 83002-0039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 569 (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.
3 other providers at this address
About NPI 1386712545
Chiropractic and Sports Injury Center of Jackson Hole PC's National Provider Identifier is 1386712545, issued on Dec 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jackson, WY. The record was last updated on Aug 26, 2010.