Healthcare Provider Details
I. General information
NPI: 1912052507
Provider Name (Legal Business Name): HEALTH4LIFE CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2007
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2863 OLD FORT PKWY SUITE A
MURFREESBORO TN
37128
US
IV. Provider business mailing address
2863 OLD FORT PKWY STE A
MURFREESBORO TN
37128-4416
US
V. Phone/Fax
- Phone: 615-893-2211
- Fax: 615-893-5233
- Phone: 615-893-2111
- Fax: 615-893-5233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 2117 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
ZSOLT
MULLER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 615-893-2211