MEDICARE: DR. KATIE GERBER 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	15066	TX

General Provider Information

NPI Number	:	1629722756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATIE GERBER DC

Provider Business Mailing Address
First Line	:	505 E LAMAR BLVD STE 267
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-3931
Country	:	US
Telephone Number	:	573-718-9603
Fax Number	:

Provider Business Practice Location Address
First Line	:	9608 BARTLETT CIR STE 130
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76108-4449
Country	:	US
Telephone Number	:	817-367-2007
Fax Number	:

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

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	02/08/2022

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