Individual
DR. TY CHARLES QUICKENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2632 FOOTHILL BLVD, SUITE 107, ROCK SPRINGS, WY 82901-4756
(307) 362-7900
(307) 362-8230
Mailing address
525 EMERALD ST, ROCK SPRINGS, WY 82901-6740
(307) 362-0943
(307) 362-8230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
589
WY
Other
Enumeration date
12/31/2006
Last updated
07/09/2007
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