Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 685 | WY |
N | 111NS0005X | Chiropractic Sports Physician | 685 | WY |
NPI | 1528206661 |
---|---|
Provider Name | Dr. Scott M. Sessions |
First Address | Thayne, WY 83127-1466 |
Second Address | Thayne, WY 83127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2009 |
Last Update Date | 05/02/2014 |