Healthcare Provider Details

I. General information

NPI: 1881926046
Provider Name (Legal Business Name): MICHELE HURLEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 02/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69411 PARKSIDE DR
DESERT HOT SPRINGS CA
92241-8257
US

IV. Provider business mailing address

69411 PARKSIDE DR
DESERT HOT SPRINGS CA
92241-8257
US

V. Phone/Fax

Practice location:
  • Phone: 760-218-9346
  • Fax:
Mailing address:
  • Phone: 760-218-9346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberDC 19489
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: