Provider Demographics
NPI:1881053635
Name:ROGERS, MICHELLE RANEY ADKINS (DC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:RANEY ADKINS
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:RANEY
Other - Last Name:ADKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:136 MILL ST STE 120
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3059
Mailing Address - Country:US
Mailing Address - Phone:614-472-0992
Mailing Address - Fax:614-472-0994
Practice Address - Street 1:136 MILL ST STE 120
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3059
Practice Address - Country:US
Practice Address - Phone:614-472-0992
Practice Address - Fax:614-472-0994
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4945111N00000X, 111N00000X
NC4736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor