MEDICARE: DS HEALTH & PERFORMANCE PLLC

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	:	1679415640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DS HEALTH & PERFORMANCE PLLC

Provider Business Mailing Address
First Line	:	1355 ISLAND PL E
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-9022
Country	:	US
Telephone Number	:	901-219-1240
Fax Number	:

Provider Business Practice Location Address
First Line	:	4646 POPLAR AVE STE 128
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4409
Country	:	US
Telephone Number	:	901-219-1240
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN
Name	:	DR. DODGEN SWANSON
Credential	:	DC
Telephone Number	:	901-219-1240

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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