Healthcare Provider Details

I. General information

NPI: 1659295848
Provider Name (Legal Business Name): CASEY EVERETT HORTON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 WIKIUP DR
SANTA ROSA CA
95403-1338
US

IV. Provider business mailing address

108 WIKIUP DR
SANTA ROSA CA
95403-1338
US

V. Phone/Fax

Practice location:
  • Phone: 707-528-2225
  • Fax: 707-528-1388
Mailing address:
  • Phone: 707-528-2225
  • Fax: 707-528-1388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: