Individual
MARY L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
4000 CENTRAL AVE STE 3, CHEYENNE, WY 82001-1377
(307) 634-0298
(307) 634-0837
Mailing address
4000 CENTRAL AVE STE 3, CHEYENNE, WY 82001-1377
(307) 634-0298
(307) 634-0837
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
161
WY
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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