Teton Headwaters, Inc Dba Aspen Wellness is a
Chiropractor based in Victor, Idaho. Teton Headwaters, Inc Dba Aspen Wellness is licensed to practice in Idaho (license number CHIA-462) and their current practice location is
164 North Main Street, Victor, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 787-1199.
NPI number for Teton Headwaters, Inc Dba Aspen Wellness is 1710101381 and their current mailing address is Po Box 224, 164 N Main Street, Victor, Idaho. Teton Headwaters, Inc Dba Aspen Wellness
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1710101381.
Healthcare Provider's Profile
| Full Name | Teton Headwaters, Inc Dba Aspen Wellness |
|---|
| Type | Facility |
|---|
| Speciality | Chiropractor |
|---|
| Location | 164 North Main Street, Victor, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710101381
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Teton Headwaters, Inc Dba Aspen Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710101381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIA-462 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teton Headwaters, Inc Dba Aspen Wellness is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Teton Headwaters, Inc Dba Aspen Wellness
Po Box 224, 164 N Main Street,
Victor, ID 83455-0224
Ph: (208) 787-1199 | Teton Headwaters, Inc Dba Aspen Wellness
164 North Main Street,
Victor, ID 83455
Ph: (208) 787-1199 |
Reviews and Comments