Provider Demographics
NPI:1023259876
Name:REUSCHLING, HEIDI MARIE (DC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:MARIE
Last Name:REUSCHLING
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 1:511 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-4738
Mailing Address - Country:US
Mailing Address - Phone:912-585-7124
Mailing Address - Fax:912-538-8318
Practice Address - Street 1:511 CHURCH ST
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-4738
Practice Address - Country:US
Practice Address - Phone:912-538-0708
Practice Address - Fax:912-538-8318
Is Sole Proprietor?:No
Enumeration Date:2009-03-07
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008450111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor