Provider Demographics
NPI:1699438283
Name:SMITH, ALEXA M (DC)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:M
Last Name:SMITH
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 1:975 AIRPORT RD SW STE H
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1395
Mailing Address - Country:US
Mailing Address - Phone:256-203-4275
Mailing Address - Fax:256-715-4275
Practice Address - Street 1:975 AIRPORT RD SW STE H
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1395
Practice Address - Country:US
Practice Address - Phone:256-203-4275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021042441111N00000X
AL2744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor