Provider Demographics
NPI:1043244049
Name:CAUGHEY, ETHAN TODD (DC)
Entity Type:Individual
Prefix:DR
First Name:ETHAN
Middle Name:TODD
Last Name:CAUGHEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 SEABOARD LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8205
Mailing Address - Country:US
Mailing Address - Phone:615-791-9917
Mailing Address - Fax:615-219-0005
Practice Address - Street 1:284 SEABOARD LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-791-9917
Practice Address - Fax:615-219-0005
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN8903185OtherBCBS
TN1925OtherTENNESSEE CHIROPRACTIC STATE LICENSE
TN5634382OtherCIGNA