Organization
MEDXCARE HEALTH PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ELLISON (CHIEF OPERATIONS OFFICER)
(831) 200-4217
Entity
Organization
Contact information
Practice address
149 JOSEPHINE ST STE A, SANTA CRUZ, CA 95060-2775
(831) 200-4217
Mailing address
149 JOSEPHINE ST STE A, SANTA CRUZ, CA 95060-2775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
133V00000X
Registered Dietitian
—
—
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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