MEDICARE: AHAVAH 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	:	1689516171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHAVAH CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	1165 W STATE ROUTE 89A
Second Line	:
City	:	SEDONA
State	:	AZ
Zip	:	86336-5742
Country	:	US
Telephone Number	:	928-235-6675
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 W STATE ROUTE 89A
Second Line	:
City	:	SEDONA
State	:	AZ
Zip	:	86336-5742
Country	:	US
Telephone Number	:	928-235-6675
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. MEGAN ELIZABETH RANDOLPH
Credential	:	DC
Telephone Number	:	928-235-6675

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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