MEDICARE: GTL PROPERTIES 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
1	261Q00000X	Clinic/Center	7387	AZ

General Provider Information

NPI Number	:	1114163599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GTL PROPERTIES LLC

Provider Business Mailing Address
First Line	:	3605 W CORTARO FARMS RD
Second Line	:	STE 145
City	:	TUCSON
State	:	AZ
Zip	:	85742-8683
Country	:	US
Telephone Number	:	520-579-2424
Fax Number	:	520-579-2426

Provider Business Practice Location Address
First Line	:	3605 W CORTARO FARMS RD
Second Line	:	STE 145
City	:	TUCSON
State	:	AZ
Zip	:	85742-8683
Country	:	US
Telephone Number	:	520-579-2424
Fax Number	:	520-579-2426

Authorized Official
Title or Position	:	DR. OF CHIROPRACTIC
Name	:	DR. CHRISTINA MAE KESZLER
Credential	:	BSC. DC
Telephone Number	:	520-579-2424

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	02/02/2009

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Directions to “GTL PROPERTIES LLC ” Practice Location

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