Doctor Name: | DR. KRISTIN ANNE HIESHETTER |
NPI Number: | 1134210776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 4128-012 |
Business Practice Address: | 207 W. John St. Po 398 Newberry, MI - 498681209 |
Business Phone Number: | 9062915080 |
Business Fax Number: | 9062915081 |
Mailing Address: | Po Box 398, 207 W. John St. NEWBERRY |
State: | MI |
Postal Code: | 498681209 |
Phone Number: | 9062915080 |
Fax Number: | 9062915081 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4128-012 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |