NPI | 1548619497 |
---|---|
Doing Business As | MID-SOUTH SPINE AND SPORTS PERFORMANCE |
Entity Type | Organization |
Authorized Contact | TYREL DETWEILER Owner/Chiropractic Physician 901-573-2526 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TN 2894) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2017-04-06 |