Provider Demographics
NPI:1528302304
Name:SAYLES, SANDRA LEE (DC)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LEE
Last Name:SAYLES
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 1:3947 CLARK RD
Mailing Address - Street 2:STE A
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2364
Mailing Address - Country:US
Mailing Address - Phone:941-961-4304
Mailing Address - Fax:
Practice Address - Street 1:3947 CLARK RD
Practice Address - Street 2:STE A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2364
Practice Address - Country:US
Practice Address - Phone:941-961-4304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor