MEDICARE: SHANAHAN FAMILY 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	:	1205793973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANAHAN FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1004 S BROADWAY ST
Second Line	:
City	:	TOLEDO
State	:	IA
Zip	:	52342-2302
Country	:	US
Telephone Number	:	641-484-3740
Fax Number	:	866-273-0232

Provider Business Practice Location Address
First Line	:	1004 S BROADWAY ST
Second Line	:
City	:	TOLEDO
State	:	IA
Zip	:	52342-2302
Country	:	US
Telephone Number	:	641-484-3740
Fax Number	:	866-273-0232

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. KEVIN MICHAEL SHANAHAN
Credential	:	D.C.
Telephone Number	:	641-484-3740

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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