MEDICARE: DR. BARBARA E. GAUTHIER 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	5214	CO

General Provider Information

NPI Number	:	1063688877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA E. GAUTHIER D.C.

Provider Business Mailing Address
First Line	:	7500 W MISSISSIPPI AVE
Second Line	:	SUITE A-130
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-4550
Country	:	US
Telephone Number	:	303-988-5220
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 W MISSISSIPPI AVE
Second Line	:	SUITE A-130
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-4550
Country	:	US
Telephone Number	:	303-988-5220
Fax Number	:

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

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	02/25/2010

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