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Dr. Heather Anna Theriault, DC
Chiropractor in Gorham, Maine
NPI 1083910970

Heather Anna Theriault is a Chiropractor based in Gorham, ME. Heather Anna Theriault practices in Gorham, ME and has the professional credentials of DC. The NPI Number for Heather Anna Theriault is 1083910970 and holds a License No. CR2010 (Maine).

The current practice location address for Heather Anna Theriault is 358 Main St, Gorham, ME and can be reached out via phone at 207-222-2118 and via fax at 207-222-2145.

Location: 358 Main St, Gorham, ME, 04038-1314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083910970
Provider Name
Heather Anna Theriault
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
358 Main St, Gorham, ME, 04038-1314
Phone Number
207-222-2118
Fax Number
207-222-2145
Provider Enumeration Date
02/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002091902 01 ME MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
358 Main St
City
Gorham
State
Maine
Zip
04038-1314
Phone Number
207-222-2118
Fax Number
207-222-2145
person
Provider Business Mailing Address Details
Address
358 Main St
City
Gorham
State
Maine
Zip
04038-1314
Phone Number
207-222-2118
Fax Number
207-222-2145
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CR2010 (Maine)
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.
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