| NPI | 1720228885 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DIONNE YVELLE KELLOGG Owner/Sole Proprietor 615-221-8033  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2164)  | 
| Enumeration Date | 2009-03-03 | 
| Last Update Date | 2009-03-03 |