Provider Demographics
NPI:1023660305
Name:HOULTON, PIPER ELIZABETH (DC)
Entity type:Individual
Prefix:
First Name:PIPER
Middle Name:ELIZABETH
Last Name:HOULTON
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 1:2802 S 39TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-3426
Mailing Address - Country:US
Mailing Address - Phone:402-920-1818
Mailing Address - Fax:
Practice Address - Street 1:16918 MORGAN AVE STE 6
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-4089
Practice Address - Country:US
Practice Address - Phone:402-206-0018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor