Organization
TETON HEADWATERS, INC DBA ASPEN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES K DAVIS DC (OWNER)
(208) 787-1199
Entity
Organization
Contact information
Practice address
164 NORTH MAIN STREET, VICTOR, ID 83455
(208) 787-1199
(208) 787-1199
Mailing address
PO BOX 224, 164 N MAIN STREET, VICTOR, ID 83455-0224
(208) 787-1199
(208) 787-1199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-462
ID
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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