MEDICARE: AXIS HEALTH CHIROPRACTIC CENTER, INC.

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	:	1558785113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXIS HEALTH CHIROPRACTIC CENTER, INC.

Provider Business Mailing Address
First Line	:	6535 MARKET AVE N
Second Line	:	SUITE 201
City	:	NORTH CANTON
State	:	OH
Zip	:	44721
Country	:	US
Telephone Number	:	330-433-9000
Fax Number	:	330-433-9026

Provider Business Practice Location Address
First Line	:	6535 MARKET AVE N
Second Line	:	SUITE 201
City	:	NORTH CANTON
State	:	OH
Zip	:	44721
Country	:	US
Telephone Number	:	330-433-9000
Fax Number	:	330-433-9026

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KARL THEIS
Credential	:	DC
Telephone Number	:	330-433-9000

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	02/18/2014

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