Provider Demographics
NPI:1528484946
Name:WOOD, SHAUNA ANNIE (DC)
Entity type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:ANNIE
Last Name:WOOD
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 1:101 W COOPERATIVE WAY
Mailing Address - Street 2:SUITE 235
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-8208
Mailing Address - Country:US
Mailing Address - Phone:512-868-6900
Mailing Address - Fax:512-868-6995
Practice Address - Street 1:101 W COOPERATIVE WAY
Practice Address - Street 2:SUITE 235
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-8208
Practice Address - Country:US
Practice Address - Phone:512-868-6900
Practice Address - Fax:512-868-6995
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-10
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12578111NN0400X, 111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology