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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANTAI IRENE MANCUSO, DC, BSC

Deactivated Sole Proprietor

DR. SHANTAI IRENE MANCUSO, DC, BSC is a Chiropractor healthcare provider located in HIGHLANDS RANCH, Colorado. NPI 1598301020 is deactivated in the NPPES registry. Verify at CMS.

Chiropractor · HIGHLANDS RANCH, CO

This NPI has been deactivated. The record was deactivated on December 10, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1598301020
Provider Type
Individual
Gender
Female
NPI Issued
Nov 19, 2019 (0.057377049180328 yrs)
Last Updated
Jan 31, 2024
Deactivated
Dec 10, 2019
License
CHR-0008097 (CO)
Sole Proprietor
Yes

Practice Information

Address
9090 RIDGELINE BLVD STE 205
HIGHLANDS RANCH, CO, 801292505
Browse CO providers · Browse ZIP 80129
Phone
3036839494
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in HIGHLANDS RANCH, CO

Name Credential NPI
DR. SHANNON KAY HURLEY DC, ATC 1538122387
DR. NICHOLAS ROBERT REINHOLTZ DC 1336105170
DR. AARON M CASSELMAN D.C. 1275587164
DR. DARREN DONDERO D.C. 1548372501
DR. LAWRENCE C. ELWELL D.C. 1790880649
RICHARD W GINGRAS D.C. 1497846059
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.