Individual
AMIE HEATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 POPLAR ST FL 2, BLACKFOOT, ID 83221-1799
(208) 782-2450
(208) 782-9953
Mailing address
98 POPLAR ST FL 2, BLACKFOOT, ID 83221-1799
(208) 782-2450
(208) 782-9953
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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