NPI 1083902365 · live from the CMS NPI Registry
Mandy Jane Jairell, D.C.
Chiropractor in Laramie, WY. National Provider Identifier 1083902365, active.
NPI record
| NPI | 1083902365 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 312 Steele St, Laramie, WY 82070 |
| Practice phone | 307-760-0311 |
| Enumerated | July 20, 2011 |
| Last updated | July 20, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 711 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.