NPI 1386712545 · live from the CMS NPI Registry
Chiropractic And Sports Injury Center Of Jackson Hole PC
Chiropractor in Jackson, WY. National Provider Identifier 1386712545, active.
NPI record
| NPI | 1386712545 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 215 Scott Lane, Jackson, WY 83001 |
| Practice phone | 307-733-8088 |
| Mailing address | Po Box 10039, Jackson, WY 83002 |
| Enumerated | December 4, 2006 |
| Last updated | August 26, 2010 |
| Authorized official | John Zendler, Owner President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 569 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.