Healthcare Provider Details

I. General information

NPI: 1215705280
Provider Name (Legal Business Name): KOJI AOKI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N HIGH ST
COLUMBIA TN
38401-2734
US

IV. Provider business mailing address

2550 PILLOW DR APT F121
COLUMBIA TN
38401-1668
US

V. Phone/Fax

Practice location:
  • Phone: 931-223-5455
  • Fax: 615-314-2880
Mailing address:
  • Phone: 801-833-1287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number3799
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3799
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: