Organization
BIODYNAMIC YOU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI SHERRY BS, LCMT (HEALING ARTS PRACTITIONER)
(307) 630-3621
Entity
Organization
Contact information
Practice address
408 WEST PERSHING BOULEVARD, CHEYENNE, WY 82001
(307) 630-3621
Mailing address
408 WEST PERSHING BOULEVARD, CHEYENNE, WY 82001
(307) 630-3621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OL-13-00087
CITY OF CHEYENNE, WYOMING LICENSE/PERMIT
WY
Enumeration date
09/06/2012
Last updated
09/06/2012
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