Healthcare Provider Details

I. General information

NPI: 1548432255
Provider Name (Legal Business Name): CHRISTINA THERESA ARBOGAST WOOLARD ND, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 21ST AVE S SUITE 101
NASHVILLE TN
37212-5317
US

IV. Provider business mailing address

2441Q OLD FORT PKWY #317
MURFREESBORO TN
37128-4162
US

V. Phone/Fax

Practice location:
  • Phone: 615-576-0782
  • Fax:
Mailing address:
  • Phone: 615-970-7693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0000195
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number191
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: