Provider Demographics
NPI:1376694307
Name:AKLADIOS, HEATHER MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MICHELLE
Last Name:AKLADIOS
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 1:8400 ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2012
Mailing Address - Country:US
Mailing Address - Phone:215-333-6160
Mailing Address - Fax:215-333-6140
Practice Address - Street 1:8400 ROOSEVELT BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2012
Practice Address - Country:US
Practice Address - Phone:215-333-6160
Practice Address - Fax:215-333-6140
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-08-26
Deactivation Date:2021-06-16
Deactivation Code:
Reactivation Date:2021-08-26
Provider Licenses
StateLicense IDTaxonomies
PADC009373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor