MEDICARE: SCOTT B CATHEY 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	5065	CO

General Provider Information

NPI Number	:	1750565727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT B CATHEY INC

Provider Business Mailing Address
First Line	:	5741 CONSTITUTION AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1220
Country	:	US
Telephone Number	:	719-227-1950
Fax Number	:	719-227-1186

Provider Business Practice Location Address
First Line	:	5741 CONSTITUTION AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1220
Country	:	US
Telephone Number	:	719-227-1950
Fax Number	:	719-227-1186

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT BRADLEY CATHEY
Credential	:	D.C.
Telephone Number	:	719-227-1950

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	12/26/2007

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