MEDICARE: WHALEN CHIROPRACTIC AND REHABILITATION LLC

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	225X00000X	Occupational Therapist
2	111NR0400X	Rehabilitation Chiropractor

General Provider Information

NPI Number	:	1518648955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHALEN CHIROPRACTIC AND REHABILITATION LLC

Provider Business Mailing Address
First Line	:	12638 EUDORA ST
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80241-3048
Country	:	US
Telephone Number	:	815-297-2053
Fax Number	:

Provider Business Practice Location Address
First Line	:	908 MAIN ST STE B104
Second Line	:
City	:	LOUISVILLE
State	:	CO
Zip	:	80027-1897
Country	:	US
Telephone Number	:	815-297-2053
Fax Number	:

Authorized Official
Title or Position	:	OWNER, CHIROPRACTOR
Name	:	DR. JOEL DAVID WHALEN
Credential	:	DC
Telephone Number	:	815-297-2053

Provider Enumeration Date	:	07/27/2023
Last Update Date	:	07/27/2023

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