Provider Demographics
NPI:1659688497
Name:CLAUSS, RHIANNON R (DC)
Entity Type:Individual
Prefix:DR
First Name:RHIANNON
Middle Name:R
Last Name:CLAUSS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:RHIANNON
Other - Middle Name:R
Other - Last Name:SHANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1255
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:NY
Mailing Address - Zip Code:12946-5255
Mailing Address - Country:US
Mailing Address - Phone:518-523-4325
Mailing Address - Fax:
Practice Address - Street 1:6018 SENTINEL RD
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:NY
Practice Address - Zip Code:12946-3649
Practice Address - Country:US
Practice Address - Phone:518-523-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX00230067111N00000X
GACHIR008899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor