Healthcare Provider Details

I. General information

NPI: 1376457176
Provider Name (Legal Business Name): PARKER CHRISTENSEN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 E GRAND AVE STE 200
LARAMIE WY
82070-5189
US

IV. Provider business mailing address

3905 E GRAND AVE STE 200
LARAMIE WY
82070-5189
US

V. Phone/Fax

Practice location:
  • Phone: 307-742-2082
  • Fax: 307-742-2075
Mailing address:
  • Phone: 307-742-2082
  • Fax: 307-742-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number889
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: