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NPI Code Detail

MEDICARE: DRESDEN CHIROPRACTIC AND PHYSICAL THERAPY, PLLC

MEDICARE: DRESDEN CHIROPRACTIC AND PHYSICAL THERAPY, 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
1225100000XPhysical Therapist1869TN
2111N00000XChiropractor1895TN

General Provider Information

NPI Number : 1881025997
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRESDEN CHIROPRACTIC AND PHYSICAL THERAPY, PLLC
Provider Business Mailing Address
First Line : PO BOX 300
Second Line :
City : DRESDEN
State : TN
Zip : 38225-0300
Country : US
Telephone Number : 731-364-6060
Fax Number :
Provider Business Practice Location Address
First Line : 130 E LOCUST ST
Second Line :
City : DRESDEN
State : TN
Zip : 38225-1467
Country : US
Telephone Number : 731-364-6060
Fax Number :
Authorized Official
Title or Position : MEMBER MANAGER
Name : KENNETH SPRINGER
Credential : PT
Telephone Number : 731-571-1375
Provider Enumeration Date : 11/29/2013
Last Update Date : 11/29/2013

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