A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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 |
| NPI # | 1902097637 |
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| LBN Legal business name | SPINE & INJURY CLINIC OF LARAMIE, PC | ||||
| Authorized official | KELLY MILAM - (PRACTICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/07/2007 | ||||
| Last updated | 10/12/2022 - About 4 years ago | ||||
| Identifiers |
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