Provider Demographics
NPI:1518337658
Name:ANDREWS, MICHELLE HATFIELD (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:HATFIELD
Last Name:ANDREWS
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 1:4416 N WESTERN AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-5256
Mailing Address - Country:US
Mailing Address - Phone:405-213-1072
Mailing Address - Fax:405-493-8225
Practice Address - Street 1:4416 N WESTERN AVE STE 204
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-5256
Practice Address - Country:US
Practice Address - Phone:405-213-1072
Practice Address - Fax:405-493-8225
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor