Individual provider · Type 1 NPI
Wesley F. Heatherly, DC
Chiropractor · Pocatello, ID
NPI number
1639367501
Active
Practice location
1355 E Center St
Pocatello, ID 83201-4737
Fax (208) 233-1200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1258 (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.
Another provider at this address
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About NPI 1639367501
Wesley F. Heatherly, DC's National Provider Identifier is 1639367501, issued on Oct 4, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 4, 2007.