Healthcare Provider Details

I. General information

NPI: 1124085329
Provider Name (Legal Business Name): JENNIFER R SECHLER DC,APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 05/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9009 MOUNTAIN RIDGE DR STE A140
AUSTIN TX
78759-7286
US

IV. Provider business mailing address

PO BOX 500022
AUSTIN TX
78750-0022
US

V. Phone/Fax

Practice location:
  • Phone: 512-343-2800
  • Fax: 512-343-2804
Mailing address:
  • Phone: 512-250-9140
  • Fax: 512-250-2207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038010644
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP124203
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: