NPI 1366718751 · live from the CMS NPI Registry
Materi Chiropractic Center, LLC
Chiropractor in Sundance, WY. National Provider Identifier 1366718751, active.
NPI record
| NPI | 1366718751 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 207 Main St, Sundance, WY 82729 |
| Practice phone | 307-283-4040 |
| Mailing address | 207 Main St, Box 971, Sundance, WY 82729 |
| Enumerated | March 29, 2012 |
| Last updated | March 29, 2012 |
| Authorized official | Dustin Materi, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 579 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.