Individual
C MISSY A THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8210 US HIGHWAY 287, LANDER, WY 82520-9349
(307) 332-9362
(307) 332-9362
Mailing address
PO BOX 795, FORT WASHAKIE, WY 82514-0795
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
568
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310877
PROVIDER NUMBER (PIN#)
WY
Enumeration date
03/01/2007
Last updated
07/08/2007
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