Healthcare Provider Details

I. General information

NPI: 1609116482
Provider Name (Legal Business Name): MELISSA YLEANA PADILLA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2322 N RIPLEY ST
DAVENPORT IA
52803-2707
US

IV. Provider business mailing address

2322 N RIPLEY ST
DAVENPORT IA
52803-2707
US

V. Phone/Fax

Practice location:
  • Phone: 408-410-4633
  • Fax:
Mailing address:
  • Phone: 408-410-4633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.024526
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: