National Provider Identifier

Shannon Taylor Sprague

Shannon Taylor Sprague is listed in the NPPES registry with a primary specialty of Chiropractor in Rochester, NY and a listed phone number of (585) 889-3280.

NPI 1073274098Rochester, NYChiropractor

Profile Overview

NPI
1073274098
Provider Type
Individual
Primary Specialty
Chiropractor
Enumeration Date
January 02, 2022
Last Updated
January 02, 2022

Practice Location

  • 3313 Chili Ave Ste E
  • Rochester, NY 14624-5300

Phone: (585) 889-3280

Mailing Address

  • 14 Adair Dr
  • Rochester, NY 14606-3610

Specialties

  • Chiropractor (111N00000X)
Full Record
NPI
1073274098
Entity Type
Individual
Last Name
Sprague
First Name
Shannon
Middle Name
Taylor
Mailing Street Address
14 Adair Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-3610
Mailing Country
US
Mailing Phone
(607) 422-9040
Practice Street Address
3313 Chili Ave Ste E
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-5300
Practice Country
US
Practice Phone
(585) 889-3280
Enumeration Date
January 02, 2022
Last Updated
January 02, 2022
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 02, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Chiropractor (111N00000X)