Doctor Name: | DR. MELISSA ANN KOPP |
NPI Number: | 1649506486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 8082 |
Business Practice Address: | 5130 S Highway 95 Fort Mohave, AZ - 864269374 |
Business Phone Number: | 9287682811 |
Business Fax Number: | 9287689787 |
Mailing Address: | 1632 E Cottonwood St, COTTONWOOD |
State: | AZ |
Postal Code: | 863264692 |
Phone Number: | 9286391700 |
Fax Number: | 9286392001 |
NPI Enumeration Date: | 10/29/2009 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 8082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |