Organization Name: | TENN SPINE & PERFORMANCE ENHANCEMENT CENTER LLC |
NPI Number: | 1457679169 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA TIMOTHY CHAMBERS (OWNER/MEMBER) |
Mailing Address: | 1240 Fox Meadows Blvd. Suite 4 Sevierville |
State: | TN US |
Postal Code: | 37862 |
Phone Number: | 8652865421 |
Fax Number: | 8652869937 |
NPI Enumeration Date: | 05/06/2010 |
NPI Last Update Date: | 07/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2426 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |