Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Teton Headwaters, Inc Dba Aspen Wellness

Organization Chiropractor · NPI 1710101381

Teton Headwaters, Inc Dba Aspen Wellness provides Chiropractor services 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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