Provider Demographics
NPI:1134200264
Name:KARY JARVIS, HEATHER MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MARIE
Last Name:KARY JARVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:MARIE
Other - Last Name:KARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55388-0039
Mailing Address - Country:US
Mailing Address - Phone:952-955-2070
Mailing Address - Fax:952-955-2370
Practice Address - Street 1:142 LEWIS AVE S
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MN
Practice Address - Zip Code:55388-4535
Practice Address - Country:US
Practice Address - Phone:952-955-2070
Practice Address - Fax:952-955-2370
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4378111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician