Provider Demographics
NPI:1891914776
Name:HRYNKO-KOURI, ALEXIS MARY (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:MARY
Last Name:HRYNKO-KOURI
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 1:619 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-2954
Mailing Address - Country:US
Mailing Address - Phone:774-487-0631
Mailing Address - Fax:744-704-5807
Practice Address - Street 1:619 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-2954
Practice Address - Country:US
Practice Address - Phone:774-487-0631
Practice Address - Fax:744-704-5807
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY45550Medicare ID - Type Unspecified