Organization
SWEET GRASS ACUPUNCTURE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA BYNUM L.AC, MSOM (OWNER)
(307) 856-8800
Entity
Organization
Contact information
Practice address
604 W MAIN ST, RIVERTON, WY 82501-3338
(307) 856-8800
Mailing address
604 W MAIN ST, RIVERTON, WY 82501-3338
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU 0001990
WY
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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