Healthcare Provider Details

I. General information

NPI: 1063028397
Provider Name (Legal Business Name): ABIGAIL MARIE HYDOCK DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ABIGAIL MARIE SMITH DC

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7621 SHAFFER PKWY STE A
LITTLETON CO
80127-3012
US

IV. Provider business mailing address

467 S JAY ST
LAKEWOOD CO
80226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 301-712-6083
  • Fax:
Mailing address:
  • Phone: 301-712-6083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0008385
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: