Healthcare Provider Details

I. General information

NPI: 1598677841
Provider Name (Legal Business Name): ALAINA CAYENNE MARTINIE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 S MAIN ST
JOPLIN MO
64801-2313
US

IV. Provider business mailing address

521 S MAIN ST
JOPLIN MO
64801-2313
US

V. Phone/Fax

Practice location:
  • Phone: 620-687-4033
  • Fax:
Mailing address:
  • Phone: 620-687-4033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026031367
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: