| NPI | 1639433931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPERT ALAN JAMES Provider/Owner 901-821-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TN 677TN) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TN 677TN) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2014-09-30 |