DETWEILER CHIROPRACTIC HEALTH SERVICES OF TN, PLLC


Address: 556 Trinity Creek Cv, Cordova, TN 38018-2279
Phone: 9015732526

DETWEILER CHIROPRACTIC HEALTH SERVICES OF TN, PLLC (NPI# 1548619497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548619497
Entity Type Organization
Organization Name DETWEILER CHIROPRACTIC HEALTH SERVICES OF TN, PLLC
Other Organization Name MID-SOUTH SPINE AND SPORTS PERFORMANCE
Practice Address 556 Trinity Creek Cv
Cordova
TN 38018-2279
Mailing Address 9740 Royal Chartres Sq N
#201
Cordova
TN 38018-4423
Practice Telephone 9015732526
Practice Fax Number 9016142523
Mailing Telephone 9015732526
Enumeration Date 2016-06-10
Last Update Date 2017-04-06
Authorized Official Name DR. TYREL DETWEILER (OWNER/CHIROPRACTIC PHYSICIAN)
Authorized Official Telephone 9015732526
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
2894 TN Chiropractic Providers

Other Provider/Organization Names

Other Name Type Code
Mid-South Spine and Sports Performance Doing Business As Name - Organization

Office Location

Street Address 556 TRINITY CREEK CV
City CORDOVA
State TN
Zip Code 38018-2279

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588264428 Shaquia Janai Harris Behavior Technician 1079 N Houston Levee Road, Cordova, TN 38018 2020-10-29
1366041493 Cynthia Brantley Behavior Technician 1079 N Houston Levee Rd, Cordova, TN 38018 2020-10-20
1558901736 At Home Physical Rehabilitation Group, LLC Physical Therapy Assistant 856 Willow Tree Circle, Cordova, TN 38018 2020-01-15
1538703038 Scott Eric Balogh Psychiatry & Neurology 65 Germantown Court, Suite 203, Cordova, TN 38018 2019-10-29
1851871305 Joanna H Fussell Behavioral Analyst 8066 Walnut Run Suite 102, Cordova, TN 38018 2018-08-15
1841736097 A Guardian Care Group Home Health 10164 Green Moss, Cordova, TN 38018 2017-01-12
1497127146 Functional Independence, Inc. Home Health 270 German Oak Dr., Memphis, TN 38018 2015-10-21
1679984363 Tiffany Masters Redfern Obstetrics & Gynecology 521 Riveredge Dr W, Cordova, TN 38018 2014-05-15
1295073427 Mitchell Wyman Alvarez Optometrist 2075 N. Germantown Pkwy, Memphis, TN 38018 2013-01-23
1578827531 Chiung Feng Hsu Dentist 831 Timber Creek Dr #1, Cordova, TN 38018 2012-06-25
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245392067 Robert James Bussenger Chiropractor 1600 Bonnie Ln Ste 102, Cordova, TN 38016-0510 2006-12-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427229343 Rowan Chiropractic Chiropractor 2193 N Main St, Suite 103, Crossville, TN 38555-6737 2008-03-19
1790825149 Christopher Dale Bennett Chiropractor 3018 South Mall Road, Knoxville, TN 37917 2007-02-07
1285792929 Marco E. Castaneda Chiropractor 7786 Emory Chase Ln, Knoxville, TN 37918-6147 2006-12-05
1942306253 Jeffrey Mckinley Chiropractor 358 Caldwell St, Mcminnville, TN 37110-2032 2006-09-15
1093826786 Daniel Steven Giammo Chiropractor 11653 Chapman Hwy, Seymour, TN 37865-5099 2006-08-31
1801807698 Samuel F Messimer Chiropractor 501 W Oakland Ave, Suite #3, Johnson City, TN 37604-1666 2006-08-10
1467410589 Andrew Charles Rowan Chiropractor 28 Fountain Sq, Crossville, TN 38555-8790 2006-05-01
1710949722 Joel W Durham Chiropractor 25 Corporate Blvd, Jackson, TN 38305-2314 2006-04-05
1902806201 Keith Bradford Graves Chiropractor 2819 Dogwood Pl, Nashville, TN 37204-3105 2005-07-28
1730631862 Jenson Elijah Gillette Chiropractor 2805 Azalea Pl, Nashville, TN 37204-3117 2016-10-24
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Competitor

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City CORDOVA
Zip Code 38018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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