MEDICARE: DR. JASON SCOTT CRIST D.C.

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	DC1254	TN

General Provider Information

NPI Number	:	1285667774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON SCOTT CRIST D.C.

Provider Business Mailing Address
First Line	:	2025 MALLORY LANE
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067
Country	:	US
Telephone Number	:	615-771-0022
Fax Number	:	615-771-0148

Provider Business Practice Location Address
First Line	:	2025 MALLORY LANE
Second Line	:	SUITE A
City	:	FRANKLIN
State	:	TN
Zip	:	37067
Country	:	US
Telephone Number	:	615-771-0022
Fax Number	:	615-771-0148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	09/14/2011

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