Provider Demographics
NPI:1467282400
Name:CORTAZZO, DELANEY (DC)
Entity type:Individual
Prefix:DR
First Name:DELANEY
Middle Name:
Last Name:CORTAZZO
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 1:1357 SHEARERS RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-7778
Mailing Address - Country:US
Mailing Address - Phone:724-216-4002
Mailing Address - Fax:
Practice Address - Street 1:1357 SHEARERS RD UNIT B
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-7778
Practice Address - Country:US
Practice Address - Phone:724-216-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor