Provider Demographics
NPI:1558689455
Name:HUNT, HEATHER ROSE (DC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ROSE
Last Name:HUNT
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 1:194 GOLD FLAT RD
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-3237
Mailing Address - Country:US
Mailing Address - Phone:530-265-2220
Mailing Address - Fax:530-265-3434
Practice Address - Street 1:194 GOLD FLAT RD
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-3237
Practice Address - Country:US
Practice Address - Phone:530-265-2220
Practice Address - Fax:530-265-3434
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor