Provider Demographics
NPI:1710405915
Name:HATCH, IVY ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:IVY
Middle Name:ELIZABETH
Last Name:HATCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:IVY
Other - Middle Name:ELIZABETH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:638 LONDONDERRY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5379
Mailing Address - Country:US
Mailing Address - Phone:940-565-8118
Mailing Address - Fax:940-387-3070
Practice Address - Street 1:638 LONDONDERRY LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5379
Practice Address - Country:US
Practice Address - Phone:940-565-8118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor