Provider Demographics
NPI:1285030114
Name:HURST CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:HURST CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICKEY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-473-7805
Mailing Address - Street 1:330 TOWLES AVE
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2082
Mailing Address - Country:US
Mailing Address - Phone:931-473-7805
Mailing Address - Fax:931-473-1939
Practice Address - Street 1:330 TOWLES AVE
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2082
Practice Address - Country:US
Practice Address - Phone:931-473-7805
Practice Address - Fax:931-473-1939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty