Provider Demographics
NPI:1841099900
Name:GUERRERO, MAKAYLA ANNE (DC)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:ANNE
Last Name:GUERRERO
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:MAKAYLA
Other - Middle Name:ANNE
Other - Last Name:ROMANSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:310 CENTRAL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3114
Mailing Address - Country:US
Mailing Address - Phone:423-581-5519
Mailing Address - Fax:
Practice Address - Street 1:310 CENTRAL CHURCH RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3114
Practice Address - Country:US
Practice Address - Phone:423-581-5519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor