Individual provider · Type 1 NPI
Bob Phillip Heaton, DC
Chiropractor · Idaho Falls, ID
NPI number
1083688030
Active
Practice location
1320 S Ammon Road
Idaho Falls, ID 83406-5810
Fax (208) 529-2084
Mailing address
1320 S. Ammon Road
Idaho Falls, ID 83406-5810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA 369 (ID) |
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.
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About NPI 1083688030
Bob Phillip Heaton, DC's National Provider Identifier is 1083688030, issued on Feb 15, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 24, 2014.