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TETON HEADWATERS, INC DBA ASPEN WELLNESS
NPI 1710101381
Chiropractor in Victor, ID

Active since April 12, 2007
164 NORTH MAIN STREET, VICTOR, ID 83455(208) 787-1199(208) 787-1199 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Teton Headwaters, Inc Dba Aspen Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TETON HEADWATERS, INC DBA ASPEN WELLNESS (NPI 1710101381) is a healthcare organization registered as a chiropractor in Victor, Idaho and active in the NPI registry since April 2007. The organization lists James K Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1710101381
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTETON HEADWATERS, INC DBA ASPEN WELLNESS
Location Address164 NORTH MAIN STREETVictor, ID 83455
Mailing AddressPo Box 224, 164 N Main StreetVictor, ID 83455-0224 · (208) 787-1199 · Fax (208) 787-1199
Phone(208) 787-1199
Fax(208) 787-1199
Organization SubpartNo
Authorized OfficialJames K DavisOwner · (208) 787-1199
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710101381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-462
Definition

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.

164 NORTH MAIN STREET, Victor, ID 83455
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES K DAVIS DC
Chiropractor
164 NORTH MAIN STREET
VICTOR, ID 83455
Teton County (208) 787-1199

Frequently Asked Questions

What is TETON HEADWATERS, INC DBA ASPEN WELLNESS's NPI number?

The NPI number assigned to this healthcare provider is 1710101381, enumerated as an "organization" on April 12, 2007.

Where is the provider located?

The provider is located at 164 NORTH MAIN STREET VICTOR, ID 83455 and the phone number is (208) 787-1199.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.