Provider Demographics
NPI:1003595489
Name:WYOMING INTEGRATIVE WELLNESS LLC
Entity Type:Organization
Organization Name:WYOMING INTEGRATIVE WELLNESS LLC
Other - Org Name:THE ART OF INTEGRATIVE MEDICINE AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-371-3725
Mailing Address - Street 1:116 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-6145
Mailing Address - Country:US
Mailing Address - Phone:307-922-4290
Mailing Address - Fax:307-522-5559
Practice Address - Street 1:116 2ND ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-6145
Practice Address - Country:US
Practice Address - Phone:307-922-4290
Practice Address - Fax:307-522-5559
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IDAHO INTEGRATIVE WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-13
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Single Specialty