MEDICARE: RITA J SEALY DC

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	4175	TX

General Provider Information

NPI Number	:	1770536765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA J SEALY DC

Provider Business Mailing Address
First Line	:	6511 STEWART RD
Second Line	:	STE 7
City	:	GALVESTON
State	:	TX
Zip	:	77551
Country	:	US
Telephone Number	:	409-744-2225
Fax Number	:	409-744-2253

Provider Business Practice Location Address
First Line	:	6511 STEWART RD
Second Line	:	STE 7
City	:	GALVESTON
State	:	TX
Zip	:	77551
Country	:	US
Telephone Number	:	409-744-2225
Fax Number	:	409-744-2253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/08/2007

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Directions to “ RITA J SEALY DC” Practice Location

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