Doctor Name: | SHAUNA LEE OLSEN |
NPI Number: | 1023058856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 21766 |
Business Practice Address: | 1699 S Virginia St Suite 100 Reno, NV - 895022809 |
Business Phone Number: | 7758265575 |
Business Fax Number: | 7758264474 |
Mailing Address: | 1699 S Virginia St, Suite 100 RENO |
State: | NV |
Postal Code: | 895022809 |
Phone Number: | 7758265575 |
Fax Number: | 7758264474 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 21766 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |