Provider Demographics
NPI:1194044412
Name:MILIOTI, HEATHER ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:ANNE
Last Name:MILIOTI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 PROSPERITY DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602
Mailing Address - Country:US
Mailing Address - Phone:540-868-0144
Mailing Address - Fax:540-868-0166
Practice Address - Street 1:125 PROSPERITY DR
Practice Address - Street 2:SUITE 600
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-5385
Practice Address - Country:US
Practice Address - Phone:540-868-0144
Practice Address - Fax:540-868-0166
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor