MEDICARE: TRUHEALTH FAMILY CHIROPRACTIC

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	261Q00000X	Clinic/Center	5064	MN

General Provider Information

NPI Number	:	1295913051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUHEALTH FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	5300 S ROBERT TRL
Second Line	:	700
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-1444
Country	:	US
Telephone Number	:	651-457-2121
Fax Number	:	651-457-5355

Provider Business Practice Location Address
First Line	:	5300 S ROBERT TRL
Second Line	:	700
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-1444
Country	:	US
Telephone Number	:	651-457-2121
Fax Number	:	651-457-5355

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TRAVIS JAMES MYERS
Credential	:	D.C.
Telephone Number	:	651-457-2121

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	02/04/2008

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