MEDICARE: DR. BRITTANY TREADWAY D.C.

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	11913	FL
2	111N00000X	Chiropractor	33632	CA

General Provider Information

NPI Number	:	1811444524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY TREADWAY D.C.

Provider Business Mailing Address
First Line	:	9480 BASELINE RD
Second Line	:
City	:	ALTA LOMA
State	:	CA
Zip	:	91701-5822
Country	:	US
Telephone Number	:	909-285-4561
Fax Number	:

Provider Business Practice Location Address
First Line	:	9480 BASELINE RD
Second Line	:
City	:	ALTA LOMA
State	:	CA
Zip	:	91701-5822
Country	:	US
Telephone Number	:	909-285-4561
Fax Number	:

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

Provider Enumeration Date	:	09/10/2016
Last Update Date	:	07/21/2022

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