Provider Demographics
NPI:1053590596
Name:PUDIL, DAYNA KAY (DC)
Entity type:Individual
Prefix:DR
First Name:DAYNA
Middle Name:KAY
Last Name:PUDIL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27700 EUCLID AVE
Mailing Address - Street 2:STE. B
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3531
Mailing Address - Country:US
Mailing Address - Phone:216-289-2632
Mailing Address - Fax:
Practice Address - Street 1:6700 BETA DR. SUITE 330
Practice Address - Street 2:
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143
Practice Address - Country:US
Practice Address - Phone:440-565-7056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3816111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor