MEDICARE: SOUTH HILL SPINAL CARE

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		WA

General Provider Information

NPI Number	:	1558497057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH HILL SPINAL CARE

Provider Business Mailing Address
First Line	:	1402 S GRAND BLVD STE 200
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2247
Country	:	US
Telephone Number	:	509-455-7552
Fax Number	:	509-747-6130

Provider Business Practice Location Address
First Line	:	1402 S GRAND BLVD STE 200
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2247
Country	:	US
Telephone Number	:	509-455-7552
Fax Number	:	509-747-6130

Authorized Official
Title or Position	:	PROPRIETOR
Name	:	DR. TIMOTHY BRUCE PRICE
Credential	:	DC
Telephone Number	:	509-455-7552

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/22/2020

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Directions to “SOUTH HILL SPINAL CARE ” Practice Location

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