Provider Demographics
NPI:1902883853
Name:SAVILLE, SANDRA J (DC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:J
Last Name:SAVILLE
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 1:305 W MOANA LN
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4984
Mailing Address - Country:US
Mailing Address - Phone:775-410-4969
Mailing Address - Fax:
Practice Address - Street 1:305 W MOANA LN
Practice Address - Street 2:SUITE B-3
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4984
Practice Address - Country:US
Practice Address - Phone:775-410-4969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA00034546111N00000X
OR3763111N00000X
246ZE0600X
NVB-01428111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic