Provider Demographics
NPI:1467094771
Name:GROVE, EMILY S (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:S
Last Name:GROVE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37030-1003
Mailing Address - Country:US
Mailing Address - Phone:615-735-9336
Mailing Address - Fax:
Practice Address - Street 1:622 S RANGELINE RD STE R
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2152
Practice Address - Country:US
Practice Address - Phone:317-575-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty