Healthcare Provider Details

I. General information

NPI: 1558934968
Provider Name (Legal Business Name): MICHAELA JO DEVANEY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 MONROE AVE STE 200
ROCHESTER NY
14618-4632
US

IV. Provider business mailing address

3025 MONROE AVE STE 200
ROCHESTER NY
14618-4632
US

V. Phone/Fax

Practice location:
  • Phone: 585-455-0959
  • Fax: 585-510-2125
Mailing address:
  • Phone: 585-455-0959
  • Fax: 585-510-2125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number013475
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: