NPI 1114216082 · live from the CMS NPI Registry
Chiropractic Sports & Wellness PC
Chiropractor in Cheyenne, WY. National Provider Identifier 1114216082, active.
NPI record
| NPI | 1114216082 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1021 E Lincolnway, Cheyenne, WY 82001 |
| Practice phone | 307-635-7727 |
| Enumerated | March 31, 2011 |
| Last updated | March 31, 2011 |
| Authorized official | Paul Cassista, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 650 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.