MEDICARE: SKELLY CHIROPRACTIC AND WELLNESS PLLC

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	:	1275366171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKELLY CHIROPRACTIC AND WELLNESS PLLC

Provider Business Mailing Address
First Line	:	3819 4 MILE RD N
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-9344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3819 4 MILE RD N
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-9344
Country	:	US
Telephone Number	:	231-278-6357
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. MICHAEL SKELLY
Credential	:	DC
Telephone Number	:	231-278-6357

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	03/27/2025

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