MEDICARE: MICHAEL A SPRING MS, ATC, 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	2255A2300X	Athletic Trainer
2	111N00000X	Chiropractor	4577	NC

General Provider Information

NPI Number	:	1245362086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A SPRING MS, ATC, DC

Provider Business Mailing Address
First Line	:	855 SAM NEWELL RD
Second Line	:	SUITE 202
City	:	MATTHEWS
State	:	NC
Zip	:	28105-7593
Country	:	US
Telephone Number	:	704-847-8308
Fax Number	:

Provider Business Practice Location Address
First Line	:	855 SAM NEWELL RD
Second Line	:	SUITE 202
City	:	MATTHEWS
State	:	NC
Zip	:	28105-7593
Country	:	US
Telephone Number	:	704-847-8308
Fax Number	:

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	10/05/2015

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