Provider Demographics
NPI:1619372661
Name:HURD, DANIELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:HURD
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 1:729 SW FEDERAL HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2913
Mailing Address - Country:US
Mailing Address - Phone:855-509-5400
Mailing Address - Fax:321-373-2062
Practice Address - Street 1:729 SW FEDERAL HWY STE 102
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2913
Practice Address - Country:US
Practice Address - Phone:855-509-5400
Practice Address - Fax:321-373-2062
Is Sole Proprietor?:No
Enumeration Date:2014-11-01
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor