MEDICARE: MT PLEASANT CHIROPRACTIC PLLC

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	:	1376156810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MT PLEASANT CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	625 N MAIN ST STE 1
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-1500
Country	:	US
Telephone Number	:	989-773-2534
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 N MAIN ST
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-1500
Country	:	US
Telephone Number	:	989-773-2534
Fax Number	:	989-775-5074

Authorized Official
Title or Position	:	CHIROPRACTOR/ OWNER
Name	:	DR. SAMANTHA JO BEUTLER
Credential	:	DC
Telephone Number	:	989-773-2534

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	03/04/2026

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