MEDICARE: KASPUTIS CHIROPRACTIC CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1053291021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASPUTIS CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	3467 GOLDEN GATE WAY
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-4418
Country	:	US
Telephone Number	:	925-276-2792
Fax Number	:

Provider Business Practice Location Address
First Line	:	3467 GOLDEN GATE WAY
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-4418
Country	:	US
Telephone Number	:	925-276-2792
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	REBECCA KASPUTIS
Credential	:	DC
Telephone Number	:	925-276-2792

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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