| NPI | 1114800562 |
|---|---|
| Doing Business As | BLACK MOUNTAIN WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KATI JO TUMA Owner 307-267-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |