Provider Demographics
NPI:1013397181
Name:THE CHIRO PLACE PLLC
Entity Type:Organization
Organization Name:THE CHIRO PLACE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KASPRACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-371-1523
Mailing Address - Street 1:3615 S HOUSTON LEVEE RD
Mailing Address - Street 2:STE 110
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-9192
Mailing Address - Country:US
Mailing Address - Phone:901-221-7173
Mailing Address - Fax:
Practice Address - Street 1:3615 S HOUSTON LEVEE RD
Practice Address - Street 2:STE 110
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-9192
Practice Address - Country:US
Practice Address - Phone:901-221-7173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty