NPI 1093915746 · live from the CMS NPI Registry
Heart Mountain Chiropractic INC
Chiropractor in Cody, WY. National Provider Identifier 1093915746, active.
NPI record
| NPI | 1093915746 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1543 Bleistein Ave, Cody, WY 82414 |
| Practice phone | 307-527-5469 |
| Enumerated | July 20, 2007 |
| Last updated | December 11, 2007 |
| Authorized official | Edward Madrid, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 571 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.