NPI 1811729908 · live from the CMS NPI Registry
Cowboy Spine & Performance Center
Chiropractor in Cheyenne, WY. National Provider Identifier 1811729908, active.
NPI record
| NPI | 1811729908 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 520 Randall Ave, Cheyenne, WY 82001 |
| Practice phone | 307-630-9529 |
| Mailing address | 1723 Steele St, Laramie, WY 82070 |
| Enumerated | August 16, 2024 |
| Last updated | January 8, 2025 |
| Authorized official | Gabriel Deal, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.