Provider Demographics
NPI:1154655421
Name:HOOVER, MELISSA LYNN (DC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:LYNN
Last Name:HOOVER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 S. PIERCE ST.
Mailing Address - Street 2:#201
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128
Mailing Address - Country:US
Mailing Address - Phone:720-287-2937
Mailing Address - Fax:720-287-2935
Practice Address - Street 1:7345 S. PIERCE ST.
Practice Address - Street 2:#201
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128
Practice Address - Country:US
Practice Address - Phone:720-287-2937
Practice Address - Fax:720-287-2935
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor