Healthcare Provider Details

I. General information

NPI: 1487655395
Provider Name (Legal Business Name): MICHAEL LEE AKERSON CHIROPRACTIC DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12020 S WARNER ELLIOT LOOP SUITE #124
PHOENIX AZ
85044-2717
US

IV. Provider business mailing address

12020 S WARNER ELLIOT LOOP SUITE #124
PHOENIX AZ
85044-2717
US

V. Phone/Fax

Practice location:
  • Phone: 480-659-8199
  • Fax: 480-546-3786
Mailing address:
  • Phone: 480-659-8199
  • Fax: 480-546-3786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5932
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: