REVIVE CHIROPRACTIC LLC (NPI# 1841841186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841841186 |
Entity Type | Organization |
Organization Name | REVIVE CHIROPRACTIC LLC |
Practice Address |
260 W Main St Ste 211 Hendersonville TN 37075-7311 |
Mailing Address |
4036 Sussex Dr Nashville TN 37207-1637 |
Practice Telephone | 6156514471 |
Mailing Telephone | 5137816625 |
Enumeration Date | 2019-09-27 |
Last Update Date | 2019-09-27 |
Authorized Official Name | DR. JULIE PAUL (OWNER) |
Authorized Official Telephone | 5137816625 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | Chiropractic Providers |
Address | Telephone Number | Fax Number |
---|---|---|
101 Tennessee Way, Suite 201, Hendersonville, TN 37075 | 6156514471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770097636 | Revive Chiropractic LLC | Chiropractor | 908 W Chandler Blvd Ste B-3, Chandler, AZ 85225-2549 | 2017-11-29 |
1255817342 | Revive Chiropractic LLC | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029-1418 | 2018-07-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Revive Chiropractic LLC | 1931-r Sheridan Blvd, Edgewater, CO 80214 |
Street Address |
260 W MAIN ST STE 211 |
City | HENDERSONVILLE |
State | TN |
Zip Code | 37075-7311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669706271 | Julie Marie Paul | Chiropractor | 260 W Main St Ste 211, Hendersonville, TN 37075-7311 | 2009-09-29 |
1558862094 | Beth Lackey | Chiropractor | 260 W Main St Ste 211, Hendersonville, TN 37075-7311 | 2018-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
Find all providers in zip 37075 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689234957 | Whitney Burton | Chiropractor | 136 Settlers Way, Hendersonville, TN 37075-8595 | 2019-06-18 |
1447819891 | Jeremy Kozuh | Chiropractor | 326 New Shackle Island Rd Ste 100, Hendersonville, TN 37075-2492 | 2019-06-10 |
1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
1871067512 | Ryan Abrahamson | Chiropractor | 165 Indian Lake Blvd Ste 102, Hendersonville, TN 37075-6216 | 2019-01-16 |
1932690187 | Mark Levi | Chiropractor | 1032 Greenville Hwy Ste B, Hendersonville, NC 28792 | 2018-05-23 |
1982064085 | Daniel Mick | Chiropractor | 1721 Brevard Rd., Hendersonville, NC 28791 | 2016-03-02 |
1962880575 | Totty Chiropractic of Hendersonville Pllc | Chiropractor | 1047 Glenbrook Way Ste 112, Hendersonville, TN 37075-1231 | 2015-05-14 |
1518362078 | Matthew William Booe | Chiropractor | 1047 Glenbrook Way 112, Hendersonville, TN 37075-1231 | 2014-10-27 |
1023417789 | Brittany Bowers | Chiropractor | 16 Executive Park Dr Ste 100, Hendersonville, TN 37075-3498 | 2014-08-19 |
1396164521 | Andrea Rathbone | Chiropractor | 315 S Church St, Hendersonville, NC 28792-6237 | 2014-04-15 |
Find all providers in HENDERSONVILLE |
City | HENDERSONVILLE |
Zip Code | 37075 |
Please comment or provide details below to improve the information on REVIVE CHIROPRACTIC LLC.
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.