MEDICARE: DR. PAUL THOMAS REED 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	5040	CO

General Provider Information

NPI Number	:	1063511954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL THOMAS REED D.C.

Provider Business Mailing Address
First Line	:	318 MILLSTREAM TER
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-4217
Country	:	US
Telephone Number	:	719-477-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 N UNION BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-5703
Country	:	US
Telephone Number	:	719-667-0700
Fax Number	:	719-633-5204

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/08/2007

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