CROCKETT SPINE & SPORT PLLC NPI 1174153738

NPI Information

NPI: 1174153738
Provider Name: CROCKETT SPINE & SPORT PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
143 S BELLS ST
ALAMO, TN
ZIP 38001
Phone: (731) 696-2525
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CROCKETT SPINE & SPORT PLLC is a chiropractor in Alamo, TN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CROCKETT SPINE & SPORT PLLC NPI is 1174153738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

143 S BELLS ST
ALAMO, TN
ZIP 38001-731
Phone: (731) 696-2525

The provider's authorized official is Jake Wayne Whitby .
The authorized official title is Owner/chiropractic Physician and has the following contact phone number (731) 234-6208.

The enumeration date for this NPI number is 1/23/2020 and was last updated on 2/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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