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SPINE INJURY CLINIC OF LARAMIE PC
Chiropractor

NPI Profile for SPINE INJURY CLINIC OF LARAMIE PC in LARAMIE, WY.

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Contact Information

SPINE & INJURY CLINIC OF LARAMIE, PC
3905 E GRAND AVE STE 200
LARAMIE, WY  82070-5189
 Phone: 307-742-2082
 Fax: 307-742-2075
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Chiropractor

 111N00000X 35 Chiropractic
 

Orthopedic

 2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

 225100000X 65 Physical Therapist in Private Practice
 

Sports

 2251S0007X 65 Physical Therapist in Private Practice
 

Sports Physician

 111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for SPINE INJURY CLINIC OF LARAMIE PC · (Female)

NPI Number 1902097637
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2007
Last updated 10/12/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 663
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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