Provider Demographics
NPI:1497036438
Name:SUMMERS, MICHELLE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LYNN
Last Name:SUMMERS
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 1:3201 TEASLEY LN STE 402
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8305
Mailing Address - Country:US
Mailing Address - Phone:559-972-1277
Mailing Address - Fax:
Practice Address - Street 1:3201 TEASLEY LN
Practice Address - Street 2:SUITE 402
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8302
Practice Address - Country:US
Practice Address - Phone:940-383-3420
Practice Address - Fax:940-383-3432
Is Sole Proprietor?:No
Enumeration Date:2011-09-05
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor