Individual provider · Type 1 NPI
Mark Russell Heston, DC
Chiropractor · Weaverville, CA
NPI number
1063540417
Active
Practice location
425 Trinity Lake Boulevard, B
Weaverville, CA 96093
Fax (530) 623-2553
Mailing address
PO Box 1503
Weaverville, CA 96093-1503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC0228590 (CA) |
Chiropractor: 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.
Other chiropractor providers in Weaverville
About NPI 1063540417
Mark Russell Heston, DC's National Provider Identifier is 1063540417, issued on Feb 28, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Weaverville, CA. The record was last updated on Jul 8, 2007.