MEDICARE: TREICHLER SPORTS & FAMILY CHIROPRACTIC, INC.

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	111NR0400X	Rehabilitation Chiropractor	007172L	PA

General Provider Information

NPI Number	:	1083744163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREICHLER SPORTS & FAMILY CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	1174 SHOREHAM RD
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-6135
Country	:	US
Telephone Number	:	717-514-0973
Fax Number	:	717-770-2059

Provider Business Practice Location Address
First Line	:	431 BRIDGE ST
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-1929
Country	:	US
Telephone Number	:	717-774-5376
Fax Number	:	717-770-2059

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL E TREICHLER
Credential	:	DC, ATC
Telephone Number	:	717-514-0973

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	12/19/2011

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