Healthcare Provider Details

I. General information

NPI: 1639878366
Provider Name (Legal Business Name): TAYLOR SHIANNE EASTER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 3RD ST
CARNEGIE PA
15106-2517
US

IV. Provider business mailing address

816 CEDAR AVE APT 2
PITTSBURGH PA
15212-4800
US

V. Phone/Fax

Practice location:
  • Phone: 412-336-8794
  • Fax:
Mailing address:
  • Phone: 412-336-8794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberAJ011387
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC011823
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: