Provider Demographics
NPI:1154033926
Name:MANGELS, KATELYN (DC)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:MANGELS
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 1:28260 US HIGHWAY 98 STE B
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-7075
Mailing Address - Country:US
Mailing Address - Phone:251-850-4128
Mailing Address - Fax:
Practice Address - Street 1:28260 US HIGHWAY 98 STE B
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7075
Practice Address - Country:US
Practice Address - Phone:251-850-4128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-23
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2823111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor