NPI 1780811539 · live from the CMS NPI Registry
Heart Mountain Chiropractic
Chiropractor in Cody, WY. National Provider Identifier 1780811539, active.
NPI record
| NPI | 1780811539 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1543 Bleistein Ave, Cody, WY 82414 |
| Practice phone | 307-587-4600 |
| Enumerated | June 19, 2009 |
| Last updated | June 19, 2009 |
| Authorized official | Paul Bergamini, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 614 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.