Healthcare Provider Details

I. General information

NPI: 1730814245
Provider Name (Legal Business Name): NASHVILLE BRAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 KERMIT DR STE 501
NASHVILLE TN
37217-5110
US

IV. Provider business mailing address

1101 KERMIT DR STE 501
NASHVILLE TN
37217-5110
US

V. Phone/Fax

Practice location:
  • Phone: 615-241-3041
  • Fax:
Mailing address:
  • Phone: 615-241-3041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: TYLER HURST
Title or Position: OWNER
Credential: DC
Phone: 615-922-0977