MEDICARE: DR. TODD OLIVER WHIPPLE 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	8657	TX

General Provider Information

NPI Number	:	1770622748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD OLIVER WHIPPLE DC

Provider Business Mailing Address
First Line	:	4613 BEE CAVE RD
Second Line	:	#102
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5203
Country	:	US
Telephone Number	:	512-448-0900
Fax Number	:	512-347-0600

Provider Business Practice Location Address
First Line	:	4613 BEE CAVE RD
Second Line	:	#102
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5203
Country	:	US
Telephone Number	:	512-448-0900
Fax Number	:	512-347-0600

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	04/11/2011

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