Healthcare Provider Details

I. General information

NPI: 1689150757
Provider Name (Legal Business Name): LOOKOUT CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 07/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3536 CUMMINGS HWY STE 120
CHATTANOOGA TN
37419-2436
US

IV. Provider business mailing address

3536 CUMMINGS HWY STE 120
CHATTANOOGA TN
37419-2436
US

V. Phone/Fax

Practice location:
  • Phone: 423-825-5252
  • Fax: 423-825-1228
Mailing address:
  • Phone: 423-825-5252
  • Fax: 423-825-1228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER L FINCH
Title or Position: OFFICE MANAGER
Credential:
Phone: 423-825-5252