MEDICARE: DR. AMY LYNN TARQUINIO D.C.

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	7753	AZ

General Provider Information

NPI Number	:	1245316736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY LYNN TARQUINIO D.C.

Provider Business Mailing Address
First Line	:	3210 E FORT LOWELL RD STE 105
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1682
Country	:	US
Telephone Number	:	928-308-5217
Fax Number	:	520-327-4310

Provider Business Practice Location Address
First Line	:	3210 E FORT LOWELL RD STE 105
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1682
Country	:	US
Telephone Number	:	928-308-5217
Fax Number	:	520-327-4310

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	06/14/2022

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