MEDICARE: HEATHER NOELLE TAPP DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	262008	KY

General Provider Information

NPI Number	:	1639702459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER NOELLE TAPP DC

Provider Business Mailing Address
First Line	:	2515 ALEXANDRIA PIKE
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-1317
Country	:	US
Telephone Number	:	608-617-7598
Fax Number	:

Provider Business Practice Location Address
First Line	:	2515 ALEXANDRIA PIKE
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-1317
Country	:	US
Telephone Number	:	608-617-7598
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2020
Last Update Date	:	07/31/2024

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Directions to “ HEATHER NOELLE TAPP DC” Practice Location

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