Organization · Type 2 NPI

Healthsource of Gillette Inc.

Chiropractor · Gillette, WY

NPI number 1902155146 Active

Practice location

110 E Lakeway Rd, Ste 1000
Gillette, WY 82718-6365

Fax (307) 257-2569

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X703 (WY)
Rehabilitation Chiropractor 111NR0400X703 (WY)
Orthopedic Chiropractor 111NX0800X703 (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 1902155146

Healthsource of Gillette Inc.'s National Provider Identifier is 1902155146, issued on Sep 4, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gillette, WY. The record was last updated on Aug 17, 2015.