Provider Demographics
NPI:1881783082
Name:WALKER, STACY E (DC)
Entity type:Individual
Prefix:DR
First Name:STACY
Middle Name:E
Last Name:WALKER
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 1:13770 58TH ST N STE 303
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3759
Mailing Address - Country:US
Mailing Address - Phone:727-532-9700
Mailing Address - Fax:
Practice Address - Street 1:13770 58TH ST N STE 303
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3759
Practice Address - Country:US
Practice Address - Phone:727-532-9700
Practice Address - Fax:727-532-9744
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6703111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic