| NPI | 1609288802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA LANCE Owner/Treating Physician 615-861-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2744) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |