Organization
MELISSA A KOPP, DC
Active
Other names
Main Street Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA KOPP DC DC (OWNER)
(928) 639-1700
Entity
Organization
Contact information
Practice address
533 S MAIN ST, COTTONWOOD, AZ 86326-3902
(928) 639-1700
(928) 639-2001
Mailing address
533 S MAIN ST, COTTONWOOD, AZ 86326-3902
(928) 639-1700
(928) 639-2001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2636
LAST FOUR SOCIAL SECURITY
OH
01
—
8082
AZ LICENSE NUMBER
AZ
Enumeration date
07/01/2020
Last updated
07/01/2020
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