MEDICARE: INSTITUTE FOR AUTOIMMUNE RECOVERY

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1982554523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTE FOR AUTOIMMUNE RECOVERY

Provider Business Mailing Address
First Line	:	680 S CACHE ST STE 10010400
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001-8694
Country	:	US
Telephone Number	:	575-770-2029
Fax Number	:	866-686-3415

Provider Business Practice Location Address
First Line	:	680 S CACHE ST STE 10010400
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001-8694
Country	:	US
Telephone Number	:	575-770-2029
Fax Number	:	866-686-3415

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	MICHELLE CHRISTINE COREY
Credential	:	FMP
Telephone Number	:	575-770-3695

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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