MEDICARE: KARA MICHELLE SCOTT 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	15350	TX

General Provider Information

NPI Number	:	1811613722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA MICHELLE SCOTT DC

Provider Business Mailing Address
First Line	:	2603 CHERRY LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-3919
Country	:	US
Telephone Number	:	817-560-1625
Fax Number	:	817-560-1627

Provider Business Practice Location Address
First Line	:	2603 CHERRY LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-3919
Country	:	US
Telephone Number	:	817-560-1625
Fax Number	:	817-560-1627

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

Provider Enumeration Date	:	10/13/2022
Last Update Date	:	11/30/2022

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Directions to “ KARA MICHELLE SCOTT DC” Practice Location

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