MEDICARE: BRUCE CHIROPRACTIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111NP0017X	Pediatric Chiropractor
2	111NS0005X	Sports Physician Chiropractor
3	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1407217755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUCE CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	422 N COLUMBUS ST
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3033
Country	:	US
Telephone Number	:	740-409-2020
Fax Number	:	740-422-8486

Provider Business Practice Location Address
First Line	:	422 N COLUMBUS ST
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3033
Country	:	US
Telephone Number	:	740-422-8484
Fax Number	:	740-422-8486

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	KATHERINE BRUCE
Credential	:	DC
Telephone Number	:	740-422-8484

Provider Enumeration Date	:	03/15/2016
Last Update Date	:	01/25/2023

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