Provider Demographics
NPI:1003817446
Name:CARPENTER, AMY MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MICHELLE
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 OLD LEBANON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2445
Mailing Address - Country:US
Mailing Address - Phone:615-739-6227
Mailing Address - Fax:615-739-6089
Practice Address - Street 1:2626 OLD LEBANON RD STE 1
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2445
Practice Address - Country:US
Practice Address - Phone:615-739-6227
Practice Address - Fax:615-739-6089
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
3971322Medicare ID - Type Unspecified
U81960Medicare UPIN