Healthcare Provider Details

I. General information

NPI: 1396990891
Provider Name (Legal Business Name): ERIKA LEIGH YANCEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1257 2ND ST N
SAUK RAPIDS MN
56379-4595
US

IV. Provider business mailing address

1257 2ND ST N
SAUK RAPIDS MN
56379-4595
US

V. Phone/Fax

Practice location:
  • Phone: 320-761-1666
  • Fax: 877-828-6193
Mailing address:
  • Phone: 320-761-1666
  • Fax: 877-828-6193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5841
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11025
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8043
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-311882
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: