MEDICARE: BRITTANY KASPRACK DC

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	1245	MS
2	111N00000X	Chiropractor	2859	TN

General Provider Information

NPI Number	:	1528448685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY KASPRACK DC

Provider Business Mailing Address
First Line	:	6942 AUTUMN OAKS DRIVE
Second Line	:	SUITE A
City	:	OLIVE BRANCH
State	:	MS
Zip	:	38654-9379
Country	:	US
Telephone Number	:	662-890-0012
Fax Number	:	662-890-0522

Provider Business Practice Location Address
First Line	:	3615 S HOUSTON LEVEE RD
Second Line	:	STE 110
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-9192
Country	:	US
Telephone Number	:	901-221-7173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2015
Last Update Date	:	09/02/2015

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Directions to “ BRITTANY KASPRACK DC” Practice Location

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