Provider Demographics
NPI:1811198492
Name:HUXLEY, BARBARA H (DC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:H
Last Name:HUXLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:S
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:832 W BASELINE RD
Mailing Address - Street 2:#25
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-9521
Mailing Address - Country:US
Mailing Address - Phone:480-345-1791
Mailing Address - Fax:480-345-7812
Practice Address - Street 1:832 W BASELINE
Practice Address - Street 2:#25
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210
Practice Address - Country:US
Practice Address - Phone:480-345-1791
Practice Address - Fax:480-345-7812
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T41688Medicare UPIN
AZZ61314Medicare ID - Type Unspecified