Provider Demographics
NPI:1164603312
Name:ACKERMAN, DAVID MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:ACKERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 S. WILLARD ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-4167
Mailing Address - Country:US
Mailing Address - Phone:928-649-1849
Mailing Address - Fax:928-639-1566
Practice Address - Street 1:291 S. WILLARD ST
Practice Address - Street 2:SUITE 104
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4167
Practice Address - Country:US
Practice Address - Phone:928-649-1849
Practice Address - Fax:928-639-1566
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7263111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor