Individual
THOMAS PARKER HEIKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
619 S WASHINGTON ST STE 202, MOSCOW, ID 83843-3063
(208) 495-5510
Mailing address
619 S WASHINGTON ST STE 202, MOSCOW, ID 83843-3063
(406) 218-6493
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-440
ID
Other
Enumeration date
06/20/2022
Last updated
06/07/2023
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