CHIROPRACTIC SPORTS & WELLNESS PC (NPI# 1285818641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285818641 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC SPORTS & WELLNESS PC |
| Practice Address |
1021 E Lincolnway Cheyenne WY 82001-4851 |
| Mailing Address |
1019 E Lincolnway Cheyenne WY 82001-4843 |
| Practice Telephone | 3076357727 |
| Practice Fax Number | 3076380423 |
| Mailing Telephone | 3076357727 |
| Mailing Fax Number | 3076380423 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2011-02-09 |
| Authorized Official Name | DR. PAUL R CASSISTA (OWNER) |
| Authorized Official Telephone | 3076357727 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 650 | WY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114216082 | Chiropractic Sports & Wellness PC | Chiropractor | 1021 E Lincolnway, Cheyenne, WY 82001-4851 | 2011-03-31 |
| Street Address |
1021 E LINCOLNWAY |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114216082 | Chiropractic Sports & Wellness PC | Chiropractor | 1021 E Lincolnway, Cheyenne, WY 82001-4851 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649714346 | Monte Lindmier | Chiropractor | 1200 Taft Ave, #5, Cheyenne, WY 82001-6516 | 2016-12-14 |
| 1538564844 | Christopher Lee Drake | Chiropractor | 4515 E Pershing Blvd Unit B, Cheyenne, WY 82001-6093 | 2014-10-29 |
| 1770831331 | Walton Holdings LLC | Chiropractor | 1651 Carey Ave Ste 2, Cheyenne, WY 82001 | 2012-08-29 |
| 1396001434 | Marley Jean Barnes Smith | Chiropractor | 5231 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2012-04-03 |
| 1962798058 | Timothy Mark Hotz | Chiropractor | 1820 Dillon Ave, Suite 200b, Cheyenne, WY 82001-4252 | 2011-06-27 |
| 1134426760 | Ryan Scott Walton | Chiropractor | 1651 Carey Ave, Ste 1c, Cheyenne, WY 82001-4423 | 2011-02-16 |
| 1285881169 | Active Care Chiropractic, P.C. | Chiropractor | 7124 Commons Drive, Suite D, Cheyenne, WY 82009-2620 | 2008-08-22 |
| 1255471835 | Alton J. Krenzelok, D.c., P.C. | Chiropractor | 520 Randall Ave, Cheyenne, WY 82001-2774 | 2007-02-06 |
| 1316002272 | Bret Covey Brown | Chiropractor | 1439 Stillwater Ave, Suite #5, Cheyenne, WY 82009-7367 | 2006-12-22 |
| 1740350164 | Jerrod M Newman | Chiropractor | 2220 Dell Range Blvd. Ste #102, Cheyenne, WY 82009-4951 | 2006-11-09 |
| Find all providers in CHEYENNE | ||||
Please comment or provide details below to improve the information on CHIROPRACTIC SPORTS & WELLNESS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.