Provider Demographics
NPI:1871968362
Name:ROCK SPRINGS CHIROPRACTIC HEALING CENTER, P.C.
Entity type:Organization
Organization Name:ROCK SPRINGS CHIROPRACTIC HEALING CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:VESSELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:307-382-3090
Mailing Address - Street 1:215 WINSTON DR
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-5727
Mailing Address - Country:US
Mailing Address - Phone:307-382-3090
Mailing Address - Fax:307-362-1024
Practice Address - Street 1:215 WINSTON DR
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5727
Practice Address - Country:US
Practice Address - Phone:307-382-3090
Practice Address - Fax:307-362-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY714111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty