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Teton Headwaters, Inc Dba Aspen Wellness
Chiropractor in Victor, Idaho
NPI 1710101381

Teton Headwaters, Inc Dba Aspen Wellness is a Chiropractor based in Victor, ID. Teton Headwaters, Inc Dba Aspen Wellness practices in Victor, ID. The NPI Number for Teton Headwaters, Inc Dba Aspen Wellness is 1710101381 and holds a License No. CHIA-462 (Idaho).

The current practice location address for Teton Headwaters, Inc Dba Aspen Wellness is 164 North Main Street, Victor, ID and can be reached out via phone at 208-787-1199 and via fax at 208-787-1199.

Location: 164 North Main Street, Victor, ID, 83455-0224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710101381
Provider Name
Teton Headwaters, Inc Dba Aspen Wellness
Credential
Provider Entity Type
Organization
Address
164 North Main Street, Victor, ID, 83455-0224
Phone Number
208-787-1199
Fax Number
208-787-1199
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
164 North Main Street
City
Victor
State
Idaho
Zip
83455
Phone Number
208-787-1199
Fax Number
208-787-1199
person
Provider Business Mailing Address Details
Address
164 North Main Street
City
Victor
State
Idaho
Zip
83455
Phone Number
208-787-1199
Fax Number
208-787-1199
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-462 (Idaho)
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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