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:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 CRYSTAL FALLS PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-1066
Mailing Address - Country:US
Mailing Address - Phone:512-259-9922
Mailing Address - Fax:512-259-9923
Practice Address - Street 1:902 CRYSTAL FALLS PKWY STE B
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-1066
Practice Address - Country:US
Practice Address - Phone:512-259-9922
Practice Address - Fax:512-259-9923
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12475111N00000X
CO5563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor