Doctor Name: | HEATHER LEIGH BOWYER |
NPI Number: | 1457480477 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 30526 |
Business Practice Address: | 4705 S Clyde Morris Blvd Port Orange, FL - 321294103 |
Business Phone Number: | 3867632778 |
Business Fax Number: | |
Mailing Address: | 28 Zeolite Pl, PALM COAST |
State: | FL |
Postal Code: | 321645229 |
Phone Number: | 3862632145 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 04/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 30526 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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. |