Provider Demographics
NPI:1467529446
Name:RHEA, LA DONNA LEE (DC)
Entity Type:Individual
Prefix:
First Name:LA DONNA
Middle Name:LEE
Last Name:RHEA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:LA DONNA
Other - Middle Name:LEE
Other - Last Name:HOMESLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2862 OLIVE HWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966
Mailing Address - Country:US
Mailing Address - Phone:530-533-4236
Mailing Address - Fax:
Practice Address - Street 1:2862 OLIVE HWY
Practice Address - Street 2:SUITE E
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966
Practice Address - Country:US
Practice Address - Phone:530-533-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC014945111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T05565Medicare UPIN
DC0149450Medicare ID - Type Unspecified