| NPI | 1124217740 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | KELLY N BUCHHOLZ Doctor 615-217-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 1977) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-10-16 |