Provider Demographics
NPI:1891070140
Name:MANIX, CORTNEY LANGFORD (DC)
Entity Type:Individual
Prefix:DR
First Name:CORTNEY
Middle Name:LANGFORD
Last Name:MANIX
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:PO BOX 8262
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05304-8262
Mailing Address - Country:US
Mailing Address - Phone:802-490-2056
Mailing Address - Fax:
Practice Address - Street 1:491 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:VT
Practice Address - Zip Code:05301-8015
Practice Address - Country:US
Practice Address - Phone:802-254-8335
Practice Address - Fax:802-257-0993
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006.0080209111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor