| NPI | 1902155146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ARNIO Owner 307-670-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 703) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: WY 703) |
| 111NX0800X Chiropractor, Orthopedic (Licence: WY 703) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2015-08-17 |