Provider Demographics
NPI:1043442858
Name:WILLIAMS-ELLISTON, CHERYL R (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:R
Last Name:WILLIAMS-ELLISTON
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 1:260 W MAIN ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3347
Mailing Address - Country:US
Mailing Address - Phone:615-974-7335
Mailing Address - Fax:615-264-8516
Practice Address - Street 1:260 W MAIN ST
Practice Address - Street 2:SUITE 211
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3347
Practice Address - Country:US
Practice Address - Phone:615-974-7335
Practice Address - Fax:615-264-8516
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002311111N00000X, 111NI0900X, 111NN1001X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0900XChiropractic ProvidersChiropractorInternist
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation