Healthcare Provider Details

I. General information

NPI: 1295645687
Provider Name (Legal Business Name): BACK 2 BALANCE REHABAILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 TILLMAN ST STE 102
MEMPHIS TN
38111-2727
US

IV. Provider business mailing address

80 TILLMAN ST STE 102
MEMPHIS TN
38111-2727
US

V. Phone/Fax

Practice location:
  • Phone: 678-612-9091
  • Fax: 901-284-2500
Mailing address:
  • Phone: 678-612-9091
  • Fax: 901-284-2500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHANURI D SETTLES
Title or Position: OWNER
Credential: DC
Phone: 678-612-9091