Provider Demographics
NPI:1548517543
Name:BOYD, SHEENA (BA, DC)
Entity type:Individual
Prefix:DR
First Name:SHEENA
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:BA, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 1/2 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-2918
Mailing Address - Country:US
Mailing Address - Phone:925-819-0911
Mailing Address - Fax:
Practice Address - Street 1:292 ALAMO DR
Practice Address - Street 2:SUITE 3
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-4243
Practice Address - Country:US
Practice Address - Phone:707-474-4409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 32156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor