| NPI | 1275921843 |
|---|---|
| Doing Business As | PROHEALTH PAIN RELIEF AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MARK R SHANE President 307-587-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 747) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-08-18 |