| NPI | 1528418860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA KAY DERR Owner 423-479-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: TN DC0000000329) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |