Provider Demographics
NPI:1881926046
Name:HURLEY, MICHELE (DC)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:
Last Name:HURLEY
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 1:69411 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92241-8257
Mailing Address - Country:US
Mailing Address - Phone:760-218-9346
Mailing Address - Fax:
Practice Address - Street 1:69411 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92241-8257
Practice Address - Country:US
Practice Address - Phone:760-218-9346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 19489111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic