MEDICARE: ZEUS MATRIX LLC DBA ADVANCED BIOMOTION

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	B00886	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1437157666	OTHER		NPI

General Provider Information

NPI Number	:	1508116716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEUS MATRIX LLC DBA ADVANCED BIOMOTION

Provider Business Mailing Address
First Line	:	5605 RIGGINS CT
Second Line	:	STE. 101
City	:	RENO
State	:	NV
Zip	:	89502-6501
Country	:	US
Telephone Number	:	775-826-6090
Fax Number	:	775-826-8848

Provider Business Practice Location Address
First Line	:	5605 RIGGINS CT
Second Line	:	STE. 101
City	:	RENO
State	:	NV
Zip	:	89502-6501
Country	:	US
Telephone Number	:	775-826-6090
Fax Number	:	775-826-8848

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. ROBERT ASHLOCK
Credential	:	DC
Telephone Number	:	775-826-6090

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	09/14/2012

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