MEDICARE: A PRAXIS CHIROPRACTIC & ALTERNATIVE HEALTH PC

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	4968	CO

General Provider Information

NPI Number	:	1235431826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PRAXIS CHIROPRACTIC & ALTERNATIVE HEALTH PC

Provider Business Mailing Address
First Line	:	620 S CASCADE AVE
Second Line	:	SUITE B
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4039
Country	:	US
Telephone Number	:	719-574-5500
Fax Number	:	719-471-9053

Provider Business Practice Location Address
First Line	:	620 S CASCADE AVE
Second Line	:	SUITE B
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4039
Country	:	US
Telephone Number	:	719-574-5500
Fax Number	:	719-471-9053

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TAMARA M STEINBACH
Credential	:	D.C
Telephone Number	:	719-574-5500

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	12/02/2010

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