Provider Demographics
NPI:1205124369
Name:MYERS, ALICIA LENAE (DC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:LENAE
Last Name:MYERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:LENAE
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10605 N HAYDEN RD
Mailing Address - Street 2:SUITE G110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5686
Mailing Address - Country:US
Mailing Address - Phone:480-443-2584
Mailing Address - Fax:
Practice Address - Street 1:8600 E SHEA BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6683
Practice Address - Country:US
Practice Address - Phone:480-443-2584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor