MEDICARE: BODY MIND AND SPINE

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	111NR0400X	Rehabilitation Chiropractor

General Provider Information

NPI Number	:	1275895120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODY MIND AND SPINE

Provider Business Mailing Address
First Line	:	6 MACARTHUR RD
Second Line	:
City	:	FRANKLIN
State	:	MA
Zip	:	02038-2967
Country	:	US
Telephone Number	:	774-291-2427
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 MACARTHUR RD
Second Line	:
City	:	FRANKLIN
State	:	MA
Zip	:	02038-2967
Country	:	US
Telephone Number	:	774-291-2427
Fax Number	:

Authorized Official
Title or Position	:	PART OWNER
Name	:	DR. FAITH ANNE MILLER
Credential	:	DC
Telephone Number	:	774-291-2427

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	06/15/2012

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Directions to “BODY MIND AND SPINE ” Practice Location

Language	Start Address	Practice Location

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