MEDICARE: DR. JASON E. FRANKEL MUSCULOSKELETAL THERAPY & REHABILITATION, INC.

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	001633	CT

General Provider Information

NPI Number	:	1457378291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JASON E. FRANKEL MUSCULOSKELETAL THERAPY & REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	30 W AVON RD
Second Line	:	SUITE B
City	:	AVON
State	:	CT
Zip	:	06001-3678
Country	:	US
Telephone Number	:	860-675-9500
Fax Number	:	860-675-9600

Provider Business Practice Location Address
First Line	:	30 W AVON RD
Second Line	:	SUITE B
City	:	AVON
State	:	CT
Zip	:	06001-3678
Country	:	US
Telephone Number	:	860-675-9500
Fax Number	:	860-675-9600

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASON E FRANKEL
Credential	:	D.C.
Telephone Number	:	860-675-9500

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/01/2007

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