Provider Demographics
NPI:1467717181
Name:YATES, JEFFREY THOMAS (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:THOMAS
Last Name:YATES
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 COOL SPRINGS BLVD STE 480
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2702
Mailing Address - Country:US
Mailing Address - Phone:615-599-8828
Mailing Address - Fax:615-465-6224
Practice Address - Street 1:725 COOL SPRINGS BLVD STE 480
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2702
Practice Address - Country:US
Practice Address - Phone:615-599-8828
Practice Address - Fax:615-465-6224
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2562111N00000X, 111NI0900X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
No111NI0900XChiropractic ProvidersChiropractorInternist
No111NR0400XChiropractic ProvidersChiropractorRehabilitation