| NPI | 1629260831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL SELF Bus. Owner/Chiropractic Physician 865-687-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 0000001403) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2007-08-11 |