Healthcare Provider Details

I. General information

NPI: 1750431946
Provider Name (Legal Business Name): CHIROPRACTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 E BROADWAY AVE
MARYVILLE TN
37804-3033
US

IV. Provider business mailing address

PO BOX 1122
ALCOA TN
37701-1122
US

V. Phone/Fax

Practice location:
  • Phone: 865-982-4301
  • Fax: 865-982-4302
Mailing address:
  • Phone: 865-982-4301
  • Fax: 865-982-4302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. WALTER PLUZNYK
Title or Position: OWNER DOCTOR
Credential: DC
Phone: 865-982-4301