Provider Demographics
NPI:1669860938
Name:SNELL, ADRIENNE K (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:K
Last Name:SNELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:K
Other - Last Name:STAUFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:9630 W SKYE CANYON PARK DR STE 160
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-6621
Mailing Address - Country:US
Mailing Address - Phone:702-209-2722
Mailing Address - Fax:702-209-2243
Practice Address - Street 1:9630 W SKYE CANYON PARK DR STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89166-6621
Practice Address - Country:US
Practice Address - Phone:702-209-2722
Practice Address - Fax:702-209-2243
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor