MEDICARE: DR. DONNA WING YEE WOO DC, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B-860	NV

General Provider Information

NPI Number	:	1215912142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA WING YEE WOO DC, ATC

Provider Business Mailing Address
First Line	:	11435 ALLERTON PARK DR
Second Line	:	SUITE 135
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-3350
Country	:	US
Telephone Number	:	702-363-2082
Fax Number	:

Provider Business Practice Location Address
First Line	:	11435 ALLERTON PARK DR
Second Line	:	SUITE 135
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-3350
Country	:	US
Telephone Number	:	702-363-2082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	02/02/2012

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