NPI 1104966779 · live from the CMS NPI Registry
Alton John Krenzelok
Chiropractor in Cheyenne, WY. National Provider Identifier 1104966779, active.
NPI record
| NPI | 1104966779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 520 Randall Ave, Cheyenne, WY 82001 |
| Practice phone | 307-433-8853 |
| Enumerated | February 6, 2007 |
| Last updated | March 13, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 594 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.