MEDICARE: COMPLETE CHIROPRACTIC & WELLNESS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1134777618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CHIROPRACTIC & WELLNESS, INC.

Provider Business Mailing Address
First Line	:	672 HARRISON AVE
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-6618
Country	:	US
Telephone Number	:	865-269-2552
Fax Number	:

Provider Business Practice Location Address
First Line	:	672 HARRISON AVE
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-6618
Country	:	US
Telephone Number	:	865-269-2552
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	JESSICA BRIERE
Credential	:	DC
Telephone Number	:	865-269-2552

Provider Enumeration Date	:	08/28/2019
Last Update Date	:	02/20/2025

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