Sweet Grass Acupuncture & Wellness

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU 0001990 Issued in WY

Legal business name

SWEET GRASS ACUPUNCTURE & WELLNESS

Practice address

604 W Main St
Riverton, WY 82501-3338

Phone

(307) 856-8800

NPI assigned

Aug 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alisha Bynum, L.AC, MSOM

Title

Owner

Phone

(307) 856-8800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1730588591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013338",
            "telephone_number": "307-856-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET GRASS ACUPUNCTURE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-856-8800",
        "authorized_official_credential": "L.AC, MSOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WY",
            "license": "ACU 0001990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Riverton, WY
• Providers in Riverton, WY by specialty
• Acupuncturist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.