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NPI Code Detail

MEDICARE: TOTAL HEALTH CLINIC OF CHIROPRACTIC, LLC

MEDICARE: TOTAL HEALTH CLINIC OF CHIROPRACTIC, 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1013508696
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL HEALTH CLINIC OF CHIROPRACTIC, LLC
Provider Business Mailing Address
First Line : 2775 MIRACLE MILE STE 1
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-3719
Country : US
Telephone Number : 289-758-4101
Fax Number : 928-758-4115
Provider Business Practice Location Address
First Line : 2775 MIRACLE MILE STE 1
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-3719
Country : US
Telephone Number : 928-758-4101
Fax Number : 928-758-4115
Authorized Official
Title or Position : CHIROPRACTIC OWNER
Name : DR. SHEILA M BARNETT
Credential : DC
Telephone Number : 716-830-6865
Provider Enumeration Date : 01/27/2021
Last Update Date : 03/17/2021

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Directions to “TOTAL HEALTH CLINIC OF CHIROPRACTIC, LLC ” Practice Location

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