Provider Demographics
NPI:1629303508
Name:PERRY, STEPHANIE MANNING (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MANNING
Last Name:PERRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4029 COFFEE RD
Mailing Address - Street 2:STE D
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-5024
Mailing Address - Country:US
Mailing Address - Phone:661-631-0570
Mailing Address - Fax:661-424-7978
Practice Address - Street 1:4029 COFFEE RD
Practice Address - Street 2:STE D4
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5024
Practice Address - Country:US
Practice Address - Phone:661-631-0570
Practice Address - Fax:661-424-7978
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor