MEDICARE: BOUNDLESS CHIROPRACTIC

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	:	1144843707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOUNDLESS CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1450 W HORIZON RIDGE PKWY STE A501
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-4478
Country	:	US
Telephone Number	:	702-665-4542
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 W HORIZON RIDGE PKWY STE A501
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-4478
Country	:	US
Telephone Number	:	702-665-4542
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KASON BELNAP
Credential	:	DC
Telephone Number	:	702-665-4542

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	05/18/2020

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Directions to “BOUNDLESS CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

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