Healthcare Provider Details

I. General information

NPI: 1184032302
Provider Name (Legal Business Name): INFINITE HORIZON CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 WASHINGTON BLVD UNIT C
NEWCASTLE WY
82701-2987
US

IV. Provider business mailing address

719 WASHINGTON BLVD UNIT C
NEWCASTLE WY
82701-2987
US

V. Phone/Fax

Practice location:
  • Phone: 307-363-3859
  • Fax: 307-685-7139
Mailing address:
  • Phone: 307-363-3859
  • Fax: 307-746-2112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number708
License Number StateWY

VIII. Authorized Official

Name: DR. ABI JO DYSART
Title or Position: CHIROPRACTOR/OWNER
Credential: D.C.
Phone: 307-363-3859