Provider Demographics
NPI:1396776936
Name:SHEWMAKER, KAREN L (DC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:SHEWMAKER
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 1:3014 N HAYDEN RD STE 107
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6531
Mailing Address - Country:US
Mailing Address - Phone:480-994-9796
Mailing Address - Fax:480-429-9256
Practice Address - Street 1:3014 N HAYDEN RD STE 107
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6531
Practice Address - Country:US
Practice Address - Phone:480-994-9796
Practice Address - Fax:480-429-9256
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor