MEDICARE: SCHWABE FAMILY & SPORTS CHIROPRACTIC, P.C.

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	:	1609205038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHWABE FAMILY & SPORTS CHIROPRACTIC, P.C.

Provider Business Mailing Address
First Line	:	645 E EVANS AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-4458
Country	:	US
Telephone Number	:	720-432-9157
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 E EVANS AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-4458
Country	:	US
Telephone Number	:	720-432-9157
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHRYN SCHWABE
Credential	:	DC
Telephone Number	:	720-432-9157

Provider Enumeration Date	:	11/06/2013
Last Update Date	:	12/18/2023

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