# BRADSHAW CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083668297
- **Authorized official:** DR. MICHELLE L. BRADSHAW DC (CHIROPRACTOR)
- **Authorized official phone:** (607) 272-0186

## Contact information

- **Practice address:** 309 N TIOGA ST, ITHACA, NY 14850-4239
- **Practice address phone:** (607) 272-0186
- **Mailing address:** 309 N TIOGA ST, ITHACA, NY 14850-4239
- **Mailing address phone:** (607) 272-0186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 010839 | NY | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/22/2020