Provider Demographics
NPI:1689092868
Name:DENSON, INDYA ALICIA (DC)
Entity Type:Individual
Prefix:
First Name:INDYA
Middle Name:ALICIA
Last Name:DENSON
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 1:12600 SW 120TH STREET
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186
Mailing Address - Country:US
Mailing Address - Phone:305-233-7035
Mailing Address - Fax:305-233-7250
Practice Address - Street 1:12600 SW 120TH STREET
Practice Address - Street 2:SUITE 109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186
Practice Address - Country:US
Practice Address - Phone:305-233-7035
Practice Address - Fax:305-233-7250
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10668111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor