Individual
DR. JACKSON BRADY FACINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
706 ELK ST, ROCK SPRINGS, WY 82901-5247
(307) 362-5352
Mailing address
706 ELK ST, ROCK SPRINGS, WY 82901-5247
(307) 362-5352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
867
WY
Other
Enumeration date
01/09/2025
Last updated
03/13/2025
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