Provider Demographics
NPI:1194319533
Name:DAY, KATIE T (DC)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:T
Last Name:DAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:472 GRANDE SUNNINGDALE LOOP
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32124-3040
Mailing Address - Country:US
Mailing Address - Phone:386-233-5084
Mailing Address - Fax:
Practice Address - Street 1:938 SAXON BLVD STE 102D
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8305
Practice Address - Country:US
Practice Address - Phone:386-473-7200
Practice Address - Fax:386-473-7070
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor