Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TETON HEADWATERS, INC DBA ASPEN WELLNESS
Active OrganizationChiropractor · VICTOR, ID
Registration Details
- NPI Number
- 1710101381
- Provider Type
- Organization
- NPI Issued
- Apr 12, 2007 (19.066846500225 yrs)
- Last Updated
- Aug 22, 2020
- License
-
CHIA-462 (ID)
Practice Information
- Address
-
164 NORTH MAIN STREETVICTOR, ID, 83455Browse ID providers · Browse ZIP 83455
- Phone
- 2087871199
- Fax
- 2087871199
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.