MEDICARE: MR. MICHAEL L REEVES 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	8589	TX

General Provider Information

NPI Number	:	1053301176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL L REEVES D.C.

Provider Business Mailing Address
First Line	:	2005 W WALLACE ST
Second Line	:	STE. 7
City	:	SAN SABA
State	:	TX
Zip	:	76877-3928
Country	:	US
Telephone Number	:	325-372-4062
Fax Number	:	325-372-6086

Provider Business Practice Location Address
First Line	:	2005 W WALLACE ST
Second Line	:	STE. 7
City	:	SAN SABA
State	:	TX
Zip	:	76877-3928
Country	:	US
Telephone Number	:	325-372-4062
Fax Number	:	325-372-6086

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	07/08/2007

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