| Doctor Name: | DR. JENNY MICHELLE HETTICH |
| NPI Number: | 1346493020 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.C. |
| License Number: | 6078 |
| Business Practice Address: | 263 2nd Ave Suite 100a Niwot, CO - 80544 |
| Business Phone Number: | 3036529200 |
| Business Fax Number: | 3036529202 |
| Mailing Address: | Po Box 763, NIWOT |
| State: | CO |
| Postal Code: | 805440763 |
| Phone Number: | 3036529200 |
| Fax Number: | 3036529202 |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 10/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111NP0017X |
| License Number: | 6078 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | Pediatric Chiropractor |
| Taxonomy Definition: | The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |