MEDICARE: DR. ADRIENNE K SNELL DC

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	B01568	NV

General Provider Information

NPI Number	:	1669860938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIENNE K SNELL DC

Provider Business Mailing Address
First Line	:	9630 W SKYE CANYON PARK DR STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6621
Country	:	US
Telephone Number	:	702-209-2722
Fax Number	:	702-209-2243

Provider Business Practice Location Address
First Line	:	9630 W SKYE CANYON PARK DR STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6621
Country	:	US
Telephone Number	:	702-209-2722
Fax Number	:	702-209-2243

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

Provider Enumeration Date	:	01/08/2015
Last Update Date	:	08/31/2023

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