DR. Nicole Michelle Heatherly, DC

NPI #1407363781 in Frederick, Maryland

Provider Information

NPI Number: 1407363781
Entity Type: Individual
Name: DR. Nicole Michelle Heatherly, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 8, 2018
Last Updated: Jan 8, 2018

Practice Location

Address: 7196 CRESTWOOD BLVD STE 100
City: Frederick
State: Maryland
ZIP Code: 21703-1845
Phone: (301) 698-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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