MEDICARE: PURCELL FAMILY CHIROPRACTIC 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	:	1467278630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURCELL FAMILY CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	5444 S 900 E
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84117-7204
Country	:	US
Telephone Number	:	801-708-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	5444 S 900 E
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84117-7204
Country	:	US
Telephone Number	:	801-708-0007
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER, OWNER, AO
Name	:	DR. AUSTYN PURCELL
Credential	:	DC
Telephone Number	:	303-358-0117

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	12/03/2024

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