Provider Demographics
NPI:1972830719
Name:HENSLEY, RHONDA SUSAN (DC)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:SUSAN
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:SUE
Other - Last Name:MULLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1075 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54304-4135
Mailing Address - Country:US
Mailing Address - Phone:920-496-6000
Mailing Address - Fax:920-496-0998
Practice Address - Street 1:1075 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-4135
Practice Address - Country:US
Practice Address - Phone:920-496-6000
Practice Address - Fax:920-496-0998
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4558012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor