Provider Demographics
NPI:1437023181
Name:SHULL, DRAKE
Entity type:Individual
Prefix:DR
First Name:DRAKE
Middle Name:
Last Name:SHULL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 S COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2236
Mailing Address - Country:US
Mailing Address - Phone:931-967-4232
Mailing Address - Fax:931-962-1988
Practice Address - Street 1:107 E GRUNDY ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-3613
Practice Address - Country:US
Practice Address - Phone:931-408-9567
Practice Address - Fax:931-962-1988
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor