Provider Demographics
NPI:1417312497
Name:HUERTA, HANNAH (DC)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:HUERTA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:SOSA-HODGKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:760 BARNES BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-5314
Mailing Address - Country:US
Mailing Address - Phone:321-735-8102
Mailing Address - Fax:
Practice Address - Street 1:760 BARNES BLVD STE 101
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5314
Practice Address - Country:US
Practice Address - Phone:321-735-8102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-17
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11697111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor