Provider Demographics
NPI:1447419379
Name:COLLART, RYAN JEFFREY (DC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:JEFFREY
Last Name:COLLART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 HILLSBORO PIKE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2791
Mailing Address - Country:US
Mailing Address - Phone:615-292-8789
Mailing Address - Fax:615-383-6852
Practice Address - Street 1:4004 HILLSBORO PIKE
Practice Address - Street 2:SUITE125
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2791
Practice Address - Country:US
Practice Address - Phone:615-292-8789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2282111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor