MEDICARE: DR. CYNTHIA J LOUIS DC

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	2764	AL

General Provider Information

NPI Number	:	1215652672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA J LOUIS DC

Provider Business Mailing Address
First Line	:	2316 KNOLLWOOD DR STE 5
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36693-3120
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2316 KNOLLWOOD DR STE 5
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36693-3120
Country	:	US
Telephone Number	:	251-661-0833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2022
Last Update Date	:	10/07/2022

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Directions to “ DR. CYNTHIA J LOUIS DC” Practice Location

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