| NPI | 1174965404 |
|---|---|
| Doing Business As | HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL TALLEY Owner 865-240-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2021-01-21 |