# MEDXCARE HEALTH PROFESSIONALS

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

## Provider details

- **NPI number:** 1982177150
- **Authorized official:** MIKE ELLISON (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (831) 200-4217

## Contact information

- **Practice address:** 149 JOSEPHINE ST STE A, SANTA CRUZ, CA 95060-2775
- **Practice address phone:** (831) 200-4217
- **Mailing address:** 149 JOSEPHINE ST STE A, SANTA CRUZ, CA 95060-2775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 01/09/2019
- **Last updated:** 01/09/2019