Healthcare Provider Details

I. General information

NPI: 1881069110
Provider Name (Legal Business Name): HUNT VITALITY CHIROPRACTIC & WELLNESS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 GOLD FLAT RD
NEVADA CITY CA
95959-3237
US

IV. Provider business mailing address

194 GOLD FLAT RD
NEVADA CITY CA
95959-3237
US

V. Phone/Fax

Practice location:
  • Phone: 530-265-2220
  • Fax: 530-265-3434
Mailing address:
  • Phone: 530-265-2220
  • Fax: 530-265-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. HEATHER HUNT
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 530-265-2220