National Provider Identifier
Courtney Ann Slack, DC, LAT, ATC
Courtney Ann Slack, DC, LAT, ATC is listed in the NPPES registry with a primary specialty of Chiropractor in Dalton, NY and a listed phone number of (716) 307-9592.
Profile Overview
- NPI
- 1932965068
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- February 26, 2024
- Last Updated
- February 26, 2024
Practice Location
- 10012 Old State RD
- Dalton, NY 14836-9640
Phone: (716) 307-9592
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1932965068
- Entity Type
- Individual
- Last Name
- Slack
- First Name
- Courtney
- Middle Name
- Ann
- Name Prefix
- Dr.
- Credential
- DC, LAT, ATC
- Mailing Street Address
- 10012 Old State RD
- Mailing City
- Dalton
- Mailing State
- NY
- Mailing ZIP Code
- 14836-9640
- Mailing Country
- US
- Mailing Phone
- (716) 307-9592
- Practice Street Address
- 10012 Old State RD
- Practice City
- Dalton
- Practice State
- NY
- Practice ZIP Code
- 14836-9640
- Practice Country
- US
- Practice Phone
- (716) 307-9592
- Enumeration Date
- February 26, 2024
- Last Updated
- February 26, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)