MEDICARE: STEAMBOAT CHIROPRACTIC HEALTH AND WELLNESS CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1912599952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEAMBOAT CHIROPRACTIC HEALTH AND WELLNESS CLINIC LLC

Provider Business Mailing Address
First Line	:	2810 W B ST
Second Line	:
City	:	TORRINGTON
State	:	WY
Zip	:	82240-1940
Country	:	US
Telephone Number	:	307-532-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 W B ST
Second Line	:
City	:	TORRINGTON
State	:	WY
Zip	:	82240-1940
Country	:	US
Telephone Number	:	307-532-5111
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	KORINNE L VAN DE STROET
Credential	:	DC
Telephone Number	:	307-532-5111

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	03/03/2026

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