Provider Demographics
NPI:1851515399
Name:TOWNLEY, GLENDA YARBROUGH (BA DC)
Entity Type:Individual
Prefix:DR
First Name:GLENDA
Middle Name:YARBROUGH
Last Name:TOWNLEY
Suffix:
Gender:F
Credentials:BA DC
Other - Prefix:
Other - First Name:GLENDA
Other - Middle Name:DOROTHY MAE
Other - Last Name:YARBROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:519 NW 60TH ST
Mailing Address - Street 2:STE D
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2054
Mailing Address - Country:US
Mailing Address - Phone:352-331-4766
Mailing Address - Fax:352-331-4766
Practice Address - Street 1:519 NW 60TH ST
Practice Address - Street 2:STE D
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2054
Practice Address - Country:US
Practice Address - Phone:352-331-4766
Practice Address - Fax:352-331-4766
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7172111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
55519OtherBCBS