MEDICARE: DR. ALICE L RATCLIFFE 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	6508	CO

General Provider Information

NPI Number	:	1811212459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICE L RATCLIFFE DC

Provider Business Mailing Address
First Line	:	PO BOX 385
Second Line	:
City	:	FOUNTAIN
State	:	CO
Zip	:	80817-0385
Country	:	US
Telephone Number	:	719-578-7747
Fax Number	:	719-578-3015

Provider Business Practice Location Address
First Line	:	1902 W COLORADO AVE UNIT B
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-3870
Country	:	US
Telephone Number	:	719-578-7747
Fax Number	:	719-578-3015

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

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	10/06/2020

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