Healthcare Provider Details

I. General information

NPI: 1447097787
Provider Name (Legal Business Name): EMMA LEIGH STIMATZE D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2024
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13357 E BELGIAN WAY
PRESCOTT VALLEY AZ
86315-7000
US

IV. Provider business mailing address

13357 E BELGIAN WAY
PRESCOTT VALLEY AZ
86315-7000
US

V. Phone/Fax

Practice location:
  • Phone: 620-388-4031
  • Fax:
Mailing address:
  • Phone: 620-388-4031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9381
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: