Provider Demographics
NPI:1932375797
Name:HIGHTOWER, ANDREA MICHELE (DC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MICHELE
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:MICHELE
Other - Last Name:ALDRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9108 LAGUNA MAIN ST
Mailing Address - Street 2:STE 1A
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7450
Mailing Address - Country:US
Mailing Address - Phone:916-691-9500
Mailing Address - Fax:916-691-9503
Practice Address - Street 1:9108 LAGUNA MAIN ST
Practice Address - Street 2:STE 1A
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7450
Practice Address - Country:US
Practice Address - Phone:916-691-9500
Practice Address - Fax:916-691-9503
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor