Healthcare Provider Details
I. General information
NPI: 1215190194
Provider Name (Legal Business Name): CHIROFIT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2008
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3326 ASPEN GROVE DR STE. 500
FRANKLIN TN
37067-2837
US
IV. Provider business mailing address
3326 ASPEN GROVE DR STE. 500
FRANKLIN TN
37067-2837
US
V. Phone/Fax
- Phone: 615-771-0722
- Fax: 615-771-0734
- Phone: 615-771-0722
- Fax: 615-771-0734
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2229 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | 2229 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
HUNTER
ALLEN
EVANS
Title or Position: MEMBER
Credential: D.C.
Phone: 615-771-0722