MEDICARE: CAIM CHIROPRACTIC 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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1700664398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAIM CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	9901 BRODIE LN
Second Line	:	SUITE 160 PMB909
City	:	AUSTIN
State	:	TX
Zip	:	78748
Country	:	US
Telephone Number	:	512-200-2077
Fax Number	:

Provider Business Practice Location Address
First Line	:	5501 N LAMAR BLVD
Second Line	:	C111
City	:	AUSTIN
State	:	TX
Zip	:	78751-7874
Country	:	US
Telephone Number	:	512-200-2077
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DR. SHAINA NOLLEY
Credential	:	DC, ACN, FMACP
Telephone Number	:	812-252-9280

Provider Enumeration Date	:	09/15/2023
Last Update Date	:	09/16/2023

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