MEDICARE: HEALING TOUCH CHIROPRACTIC & WELLNESS CORPORATION

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	B01163	NV

General Provider Information

NPI Number	:	1487985644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING TOUCH CHIROPRACTIC & WELLNESS CORPORATION

Provider Business Mailing Address
First Line	:	235 N EASTERN AVE
Second Line	:	#119
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-4542
Country	:	US
Telephone Number	:	702-307-4004
Fax Number	:	702-307-9535

Provider Business Practice Location Address
First Line	:	235 N EASTERN AVE
Second Line	:	#119
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-4542
Country	:	US
Telephone Number	:	702-307-4004
Fax Number	:	702-307-9535

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GLAEE G VALENCIA-LOPEZ
Credential	:	DC
Telephone Number	:	702-307-4004

Provider Enumeration Date	:	01/27/2010
Last Update Date	:	01/27/2010

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