Provider Demographics
NPI:1346689924
Name:FERLITCH, HEATHER RAE (DC, MS, LAC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:RAE
Last Name:FERLITCH
Suffix:
Gender:F
Credentials:DC, MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 EASTERLY PKWY
Mailing Address - Street 2:STE 105
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-6300
Mailing Address - Country:US
Mailing Address - Phone:814-810-7123
Mailing Address - Fax:814-768-8481
Practice Address - Street 1:233 EASTERLY PKWY
Practice Address - Street 2:STE 105
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-6300
Practice Address - Country:US
Practice Address - Phone:814-810-7123
Practice Address - Fax:814-768-8481
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70 012236111N00000X
PAAK001081171100000X
PADC010703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist