Provider Demographics
NPI:1437310794
Name:YOUR FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:YOUR FAMILY CHIROPRACTIC LLC
Other - Org Name:YOUR FAMILY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MADLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:307-547-3330
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:WY
Mailing Address - Zip Code:82053-0333
Mailing Address - Country:US
Mailing Address - Phone:307-547-3330
Mailing Address - Fax:307-547-3339
Practice Address - Street 1:315 S MAIN ST #101
Practice Address - Street 2:
Practice Address - City:BURNS
Practice Address - State:WY
Practice Address - Zip Code:82053
Practice Address - Country:US
Practice Address - Phone:307-547-3330
Practice Address - Fax:307-547-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty