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NPI Code Detail

MEDICARE: CASCADE FAMILY CHIROPRACTIC

MEDICARE: CASCADE FAMILY CHIROPRACTIC
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
1111N00000XChiropractor0006927CO

General Provider Information

NPI Number : 1730423922
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASCADE FAMILY CHIROPRACTIC
Provider Business Mailing Address
First Line : 1712 W UINTAH ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-2958
Country : US
Telephone Number : 952-356-6878
Fax Number :
Provider Business Practice Location Address
First Line : 1712 W UINTAH ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-2958
Country : US
Telephone Number : 952-356-6878
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. TIFFANY SAYUK
Credential : DC
Telephone Number : 952-356-6878
Provider Enumeration Date : 11/12/2012
Last Update Date : 11/12/2012

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Directions to “CASCADE FAMILY CHIROPRACTIC ” Practice Location

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