MEDICARE: VERTICAL 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	13493	TX

General Provider Information

NPI Number	:	1538682000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERTICAL CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	5512 BELLAIRE DR S STE B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-5800
Country	:	US
Telephone Number	:	817-330-9665
Fax Number	:

Provider Business Practice Location Address
First Line	:	5512 BELLAIRE DR S STE B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-5800
Country	:	US
Telephone Number	:	817-330-9665
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TREVOR ADAMS
Credential	:	DC
Telephone Number	:	817-330-9665

Provider Enumeration Date	:	07/17/2017
Last Update Date	:	07/21/2022

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Directions to “VERTICAL CHIROPRACTIC LLC ” Practice Location

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