Organization
SPINE & INJURY CLINIC OF LARAMIE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MILAM (PRACTICE MANAGER)
(307) 742-2082
Entity
Organization
Contact information
Practice address
3905 E GRAND AVE STE 200, LARAMIE, WY 82070-5189
(307) 742-2082
(307) 742-2075
Mailing address
3905 E GRAND AVE STE 200, LARAMIE, WY 82070-5189
(307) 742-2082
(307) 742-2075
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
663
WY
111N00000X
Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
225100000X
Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/07/2007
Last updated
10/12/2022
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