Provider Demographics
NPI:1265693139
Name:MCMANNIS, CADE COLLIN (DC)
Entity type:Individual
Prefix:DR
First Name:CADE
Middle Name:COLLIN
Last Name:MCMANNIS
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 1:611 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-2316
Mailing Address - Country:US
Mailing Address - Phone:315-730-5321
Mailing Address - Fax:
Practice Address - Street 1:1387 CAREW ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2123
Practice Address - Country:US
Practice Address - Phone:413-732-1201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2009-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor