| 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 |