Provider Demographics
NPI:1891748182
Name:ANDERSON, WHITNEY GAYLE (DC)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:GAYLE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 CRYSTAL FALLS PKWY
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3665
Mailing Address - Country:US
Mailing Address - Phone:512-259-9922
Mailing Address - Fax:512-259-9923
Practice Address - Street 1:808 CRYSTAL FALLS PKWY
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3665
Practice Address - Country:US
Practice Address - Phone:512-259-9922
Practice Address - Fax:512-259-9923
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5563111N00000X
TX12475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor