MEDICARE: MOVING BODY CHIROPRACTIC

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

General Provider Information

NPI Number	:	1154078194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVING BODY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	2536 YOSEMITE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2763
Country	:	US
Telephone Number	:	203-536-8417
Fax Number	:

Provider Business Practice Location Address
First Line	:	1532 N EMERSON ST UNIT 103-104
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1450
Country	:	US
Telephone Number	:	720-239-2702
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	DR. EMILY GERSON
Credential	:	DC
Telephone Number	:	720-239-2702

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	03/09/2022

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Directions to “MOVING BODY CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

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