MEDICARE: DR. CHELSIE MARIE LAROSE DC

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	16838	TX

General Provider Information

NPI Number	:	1144164997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSIE MARIE LAROSE DC

Provider Business Mailing Address
First Line	:	4868 S MERRIFIELD RD APT 11106
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75236-1398
Country	:	US
Telephone Number	:	724-912-9628
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 N BUCKNER BLVD STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-5876
Country	:	US
Telephone Number	:	724-912-9628
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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