Healthcare Provider Details

I. General information

NPI: 1467398438
Provider Name (Legal Business Name): ABUNDANT LIFE CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 S CHURCH ST STE 100
MURFREESBORO TN
37130-5553
US

IV. Provider business mailing address

1630 S CHURCH ST STE 100
MURFREESBORO TN
37130-5553
US

V. Phone/Fax

Practice location:
  • Phone: 615-568-8407
  • Fax:
Mailing address:
  • Phone: 615-568-8407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. EVELEN KHALAF AZIZ MASSOUD
Title or Position: OWNER
Credential: DC
Phone: 615-568-8407