Provider Demographics
NPI:1063028397
Name:HYDOCK, ABIGAIL MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:MARIE
Last Name:HYDOCK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ABIGAIL
Other - Middle Name:MARIE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4790 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-6926
Mailing Address - Country:US
Mailing Address - Phone:301-712-6083
Mailing Address - Fax:
Practice Address - Street 1:30772 SOUTHVIEW DR STE 140
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-2214
Practice Address - Country:US
Practice Address - Phone:303-670-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0008385111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor