Provider Demographics
NPI:1164852869
Name:BURKETT, STEPHANIE AMANDA (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:AMANDA
Last Name:BURKETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:AMANDA
Other - Last Name:HESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:134 SLADE THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-2805
Mailing Address - Country:US
Mailing Address - Phone:256-808-5050
Mailing Address - Fax:256-828-5098
Practice Address - Street 1:11399 HIGHWAY 231 431 N STE A
Practice Address - Street 2:
Practice Address - City:MERIDIANVILLE
Practice Address - State:AL
Practice Address - Zip Code:35759-2109
Practice Address - Country:US
Practice Address - Phone:256-828-5050
Practice Address - Fax:256-828-5098
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4440111N00000X
AL2711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor