Healthcare Provider Details

I. General information

NPI: 1891819116
Provider Name (Legal Business Name): ROBERT MICHAEL THOMPSON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 COOL SPRINGS BLVD STE 100
FRANKLIN TN
37067-7214
US

IV. Provider business mailing address

342 COOL SPRINGS BLVD STE 100
FRANKLIN TN
37067-7214
US

V. Phone/Fax

Practice location:
  • Phone: 615-771-7720
  • Fax:
Mailing address:
  • Phone: 615-771-7720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC0000001871
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: