Organization
BACK TO HEALTH CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON R. HAYCOCK D.C. (PRESIDENT)
(307) 787-6400
Entity
Organization
Contact information
Practice address
120 S MAIN ST, LYMAN, WY 82937-1194
(307) 787-6400
(307) 787-6401
Mailing address
PO BOX 1194, LYMAN, WY 82937-1194
(307) 787-6400
(307) 787-6401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
611
WY
Other
Enumeration date
02/14/2007
Last updated
01/27/2016
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