Healthcare Provider Details
I. General information
NPI: 1942054036
Provider Name (Legal Business Name): HIGH POINT WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2024
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1208 HILLTOP DR STE 103
ROCK SPRINGS WY
82901-5858
US
IV. Provider business mailing address
1208 HILLTOP DR STE 103
ROCK SPRINGS WY
82901-5858
US
V. Phone/Fax
- Phone: 307-212-8014
- Fax:
- Phone: 307-212-8014
- Fax: 307-224-2128
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TAMARA
WALKER
Title or Position: MEDICAL DIRECTOR
Credential: PMHNP
Phone: 307-212-8014