Provider Demographics
NPI:1144985656
Name:WINTERS, ALEXIS KATHRYN (DC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:KATHRYN
Last Name:WINTERS
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 1:28661 BIRDWATCH LOOP APT 306
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-3731
Mailing Address - Country:US
Mailing Address - Phone:651-246-8984
Mailing Address - Fax:
Practice Address - Street 1:21754 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-6901
Practice Address - Country:US
Practice Address - Phone:813-428-5648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6905111N00000X
FLCH14729111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor