OrganizationActive
Ediss Chiropractic, Inc
NPI 1477736015 · Chiropractor · Douglas, WY
Provider details
- NPI number
- 1477736015
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michele Lisco-Ediss, President(307) 358-5066
- License
- 574 (WY)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1330 E Richards St
Douglas, WY 82633-2951
Phone: (307) 358-3147
Fax: (307) 358-3213
Street-level locationGet directions
Mailing address
1330 E Richards St
Douglas, WY 82633-2951
Registry dates
- Enumerated
- 2007-12-05
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.