| NPI | 1942643697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KESTNER Owner 615-895-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 598) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2593) |
| 111NS0005X Chiropractor, Sports Physician (Licence: TN 598) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |