Individual provider · Type 1 NPI

Shawn D. Wanderaas, DC

Chiropractor · Southaven, MS

NPI number 1669790523 Active

Practice location

1134 Church Road
Southaven, MS 38671

Mailing address

1134 Church Road W
Southaven, MS 38671

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1201 (MS)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1669790523

Shawn D. Wanderaas, DC's National Provider Identifier is 1669790523, issued on May 17, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Southaven, MS. The record was last updated on Mar 5, 2013.