Healthcare Provider Details

I. General information

NPI: 1962240168
Provider Name (Legal Business Name): HEATHER ARNOLD DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2024
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 N WALNUT ST OFC A
BLOOMINGTON IN
47404-3898
US

IV. Provider business mailing address

565 N WALNUT ST OFC A
BLOOMINGTON IN
47404-3898
US

V. Phone/Fax

Practice location:
  • Phone: 812-336-2423
  • Fax:
Mailing address:
  • Phone: 812-336-2423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401480
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08003489A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: