Healthcare Provider Details

I. General information

NPI: 1720569866
Provider Name (Legal Business Name): ZOANN ALEXIS MADER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 E IRON AVE
SALINA KS
67401-2697
US

IV. Provider business mailing address

2887 PALOMINO TRL
LINDSBORG KS
67456-1102
US

V. Phone/Fax

Practice location:
  • Phone: 785-414-9422
  • Fax:
Mailing address:
  • Phone: 785-324-1449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1983
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: