| Organization Name: | JESSICA L TOBIN |
| NPI Number: | 1114116761 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA L TOBIN (OFFICE MANAGER OWNER) |
| Mailing Address: | 403 E 2nd St Powell |
| State: | WY US |
| Postal Code: | 824351927 |
| Phone Number: | 3077543436 |
| Fax Number: | 3077547938 |
| NPI Enumeration Date: | 10/19/2007 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 01/22/2008 |
| NPI Reactivation Date: | 05/13/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |