Provider Demographics
NPI:1093090003
Name:CUNNINGTON, CONNEALY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CONNEALY
Middle Name:ANN
Last Name:CUNNINGTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CONNEALY
Other - Middle Name:ANN
Other - Last Name:HUERTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 700688
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0688
Mailing Address - Country:US
Mailing Address - Phone:210-318-3007
Mailing Address - Fax:210-468-0682
Practice Address - Street 1:433 SPORTSPLEX DR STE 200
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5359
Practice Address - Country:US
Practice Address - Phone:800-404-6050
Practice Address - Fax:866-313-3397
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12139111NR0400X
COCHR6890111N00000X
NE1823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12139OtherCHIROPRACTIC LICENSE