Doctor Name: | DR. SANDY C TRAIL |
NPI Number: | 1205259066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | CH 11095 |
Business Practice Address: | 2441 Us Highway 98 W Ste 103 Santa Rosa Beach, FL - 324595385 |
Business Phone Number: | 8506220062 |
Business Fax Number: | 8508721952 |
Mailing Address: | 93 Dune Lakes Cir, Unit H305 SANTA ROSA BEACH |
State: | FL |
Postal Code: | 324598393 |
Phone Number: | 2565047158 |
Fax Number: | 8508721952 |
NPI Enumeration Date: | 01/30/2014 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 11095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |