Provider Demographics
NPI:1639621055
Name:HERRON, RIANNE (DC)
Entity type:Individual
Prefix:MISS
First Name:RIANNE
Middle Name:
Last Name:HERRON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 PONDEROSA RD
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-2003
Mailing Address - Country:US
Mailing Address - Phone:509-684-6526
Mailing Address - Fax:509-684-6309
Practice Address - Street 1:198 PONDEROSA RD
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-2003
Practice Address - Country:US
Practice Address - Phone:509-684-6526
Practice Address - Fax:509-684-6309
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor