MEDICARE: RETURN TO HEALTH 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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1003415126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETURN TO HEALTH LLC

Provider Business Mailing Address
First Line	:	4474 SPRING VALLEY RD
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75244-3703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4474 SPRING VALLEY RD
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75244-3703
Country	:	US
Telephone Number	:	469-677-0076
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	SHELLY SHEA
Credential	:
Telephone Number	:	817-484-6274

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	10/20/2020

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Directions to “RETURN TO HEALTH LLC ” Practice Location

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