Provider Demographics
NPI:1598361453
Name:ANDERSON, SAWYER A (DC)
Entity type:Individual
Prefix:DR
First Name:SAWYER
Middle Name:A
Last Name:ANDERSON
Suffix:
Gender:
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:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50630-0207
Mailing Address - Country:US
Mailing Address - Phone:563-237-6560
Mailing Address - Fax:563-237-6562
Practice Address - Street 1:111 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:IA
Practice Address - Zip Code:50630-7705
Practice Address - Country:US
Practice Address - Phone:563-237-6560
Practice Address - Fax:563-237-6562
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA106199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor