Provider Demographics
NPI:1093949612
Name:NATURAL POTENTIAL CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:NATURAL POTENTIAL CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:T
Authorized Official - Last Name:DENSON CARR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-426-3661
Mailing Address - Street 1:2028 W POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-0618
Mailing Address - Country:US
Mailing Address - Phone:708-426-3661
Mailing Address - Fax:
Practice Address - Street 1:1180 GREENVIEW RD
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-1162
Practice Address - Country:US
Practice Address - Phone:708-426-3661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty