Provider Demographics
NPI:1356858260
Name:VOODOO CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:VOODOO CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:PFEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, ATC, DACBSP
Authorized Official - Phone:615-892-8255
Mailing Address - Street 1:3628 TROUSDALE DR STE C
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4523
Mailing Address - Country:US
Mailing Address - Phone:615-892-8255
Mailing Address - Fax:615-577-0503
Practice Address - Street 1:312 WILSON PIKE CIR STE A
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2741
Practice Address - Country:US
Practice Address - Phone:615-892-8255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center