Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teton Headwaters, Inc Dba Aspen Wellness

Organization Chiropractor · NPI 1710101381

Teton Headwaters, Inc Dba Aspen Wellness is a Chiropractor in Victor, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

164 N Main St
Victor, ID 83455
Phone: (208) 787-1199
Fax: (208) 787-1199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA-462 (ID)

Record details

NPI number1710101381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Davis — Owner · (208) 787-1199
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 224, 164 N Main Street, Victor, ID 83455-0224

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