Amie Heatherton

NPI #1316413768 in Blackfoot, Idaho

Provider Information

NPI Number: 1316413768
Entity Type: Individual
Name: Amie Heatherton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Enumeration Date: Oct 23, 2018
Last Updated: Oct 23, 2018

Practice Location

Address: 98 POPLAR ST FL 2
City: Blackfoot
State: Idaho
ZIP Code: 83221-1799
Phone: (208) 782-2450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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