MEDICARE: CLEAVELAND CHIROPRACTIC LLC

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	:	1306612098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAVELAND CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	207 CAMBRIDGE ST UNIT C
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-2538
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 CAMBRIDGE ST UNIT C
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-2538
Country	:	US
Telephone Number	:	781-214-1710
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. CAMI CLEAVELAND
Credential	:	DC
Telephone Number	:	607-267-6225

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	01/23/2026

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