NPI 1902358799 · live from the CMS NPI Registry
Merryman Spinal And Sports LLC
Chiropractor, Rehabilitation in Gillette, WY. National Provider Identifier 1902358799, active.
NPI record
| NPI | 1902358799 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Rehabilitation 111NR0400X |
| Practice location | 201 W Lakeway Rd, Suite. 211, Gillette, WY 82718 |
| Practice phone | 307-756-2991 |
| Mailing address | 2008 Wagonhammer Ln, Gillette, WY 82718 |
| Enumerated | October 27, 2016 |
| Last updated | October 27, 2016 |
| Authorized official | Justin Merryman, Chiropractor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Rehabilitation primary | 111NR0400X | 763 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.