Organization
CHIROPRACTIC SPORTS & WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R CASSISTA D.C. (OWNER)
(307) 635-7727
Entity
Organization
Contact information
Practice address
1021 E LINCOLNWAY, CHEYENNE, WY 82001-4851
(307) 635-7727
(307) 638-0423
Mailing address
1019 E LINCOLNWAY, CHEYENNE, WY 82001-4843
(307) 635-7727
(307) 638-0423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
650
WY
Other
Enumeration date
12/20/2007
Last updated
02/09/2011
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