MEDICARE: BREAKTHROUGH CHIROPRACTIC CLINIC, PA

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	:	1285730341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREAKTHROUGH CHIROPRACTIC CLINIC, PA

Provider Business Mailing Address
First Line	:	487 WEST ST
Second Line	:
City	:	SPINDALE
State	:	NC
Zip	:	28160-1357
Country	:	US
Telephone Number	:	828-287-6800
Fax Number	:	828-288-2722

Provider Business Practice Location Address
First Line	:	487 WEST ST
Second Line	:
City	:	SPINDALE
State	:	NC
Zip	:	28160-1357
Country	:	US
Telephone Number	:	828-287-6800
Fax Number	:	828-288-2722

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT SCOTT RASH
Credential	:	D.C.
Telephone Number	:	828-287-6800

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	06/17/2010

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