Provider Demographics
NPI:1518255512
Name:MELISSA HOOVER D.C. LLC
Entity Type:Organization
Organization Name:MELISSA HOOVER D.C. LLC
Other - Org Name:ACTIVATE YOUR HEALTH CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-287-2937
Mailing Address - Street 1:7325 S PIERCE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4553
Mailing Address - Country:US
Mailing Address - Phone:720-287-2937
Mailing Address - Fax:720-287-2935
Practice Address - Street 1:7325 S PIERCE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-4553
Practice Address - Country:US
Practice Address - Phone:720-287-2937
Practice Address - Fax:720-287-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty