Teton Headwaters, Inc Dba Aspen Wellness in Victor - Chiropractor
Teton Headwaters, Inc Dba Aspen Wellness - NPI 1710101381
Teton Headwaters, Inc Dba Aspen Wellness is a Chiropractor in Victor, Idaho. Teton Headwaters, Inc Dba Aspen Wellness practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Teton Headwaters, Inc Dba Aspen Wellness is 1710101381. The last update date is 2020-08-22.
Teton Headwaters, Inc Dba Aspen Wellness's current location address is Po Box 224, Victor, Idaho. You can contact this provider via phone number 2087871199 and fax number 2087871199. The mailing address for Teton Headwaters, Inc Dba Aspen Wellness is Po Box 224, Victor, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Teton Headwaters, Inc Dba Aspen Wellness |
|---|---|
| Address | Po Box 224, Victor, Idaho |
| Phone Number | 2087871199 |
| Fax Number | 2087871199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Davis K James |
| Credentials | DC |
| Telephone Number | 2087871199 |
NPI Number Detail
| NPI Number | 1710101381 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 224 |
|---|---|
| City | Victor |
| State | Idaho (ID) |
| Post Code | 834550224 |
| Phone Number | 2087871199 |
| Fax Number | 2087871199 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIA-462 |
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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 inte |
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What is the unique 10-digit identifier code assigned to Teton Headwaters, Inc Dba Aspen Wellness by the Centers for Medicare & Medicaid Services?
The Teton Headwaters, Inc Dba Aspen Wellness has been issued the NPI (National Provider Identifier) 1710101381 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Teton Headwaters, Inc Dba Aspen Wellness located?
The Teton Headwaters, Inc Dba Aspen Wellness is located at Po Box 224, Victor, ID 834550224.
What is Teton Headwaters, Inc Dba Aspen Wellness's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Teton Headwaters, Inc Dba Aspen Wellness is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
When was the Teton Headwaters, Inc Dba Aspen Wellness's 1710101381 issued?
The Teton Headwaters, Inc Dba Aspen Wellness's 1710101381 was issued on 2007-04-12.
As of what date were the Teton Headwaters, Inc Dba Aspen Wellness's details last updated?
The information pertaining to the Teton Headwaters, Inc Dba Aspen Wellness, including its address, specialty, and other details, was most recently updated on 2020-08-22.