Kory Landon Kreusel, D.C.
Individual provider Active NPI Chiropractor · Rawlins, WY
NPI 1376776773 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1376776773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 823 (WY)
- Practice address
- 801 W Maple St
Rawlins, WY 82301-5448 - Phone
- (307) 324-7000
- Fax
- (307) 939-8386
- NPI assigned
- Sep 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
801 W Maple St
Rawlins, WY 82301-5448
Phone (307) 324-7000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220822002808 | WY | Practitioner - Chiropractic | 1153477641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 823 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kory L. Kreusel DC PC | Chiropractor | Current |
Accepting new patients |
| JMR Inc | Chiropractor | Past |
Accepting new patients |
| Intermountain Chiropractic | Chiropractor | Past | Accepting new patients |
| Synergy Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
| Cascades Chiropractic Center Inc. | Chiropractor | Past | Accepting new patients |
| Akm Enterprises, Inc | Single Specialty | Past |
Accepting new patients |
| John Hickey PC | Chiropractor | Past |
Accepting new patients |
Locations
801 W Maple St
Rawlins, WY 82301
Phone (307) 324-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1378 | ID | |
| Chiropractor |
111N00000X | 823 | WY | Yes |
Addresses
Primary practice location
801 W Maple St
Rawlins, WY 82301-5448
Mailing address
610 8TH St
Rawlins, WY 82301-5452
Phone (307) 393-3903
NPI Registry JSON
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1376776773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 8TH ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015452",
"telephone_number": "307-393-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W MAPLE ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015448",
"telephone_number": "307-324-7000",
"fax_number": "307-939-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUSEL",
"first_name": "KORY",
"middle_name": "LANDON",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1378",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WY",
"license": "823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rawlins, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.