Provider Demographics
NPI:1477127918
Name:CLARY, WESTON COLE (DC)
Entity Type:Individual
Prefix:DR
First Name:WESTON
Middle Name:COLE
Last Name:CLARY
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 1:726 FULTON ST APT 105
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-6918
Mailing Address - Country:US
Mailing Address - Phone:423-708-5244
Mailing Address - Fax:
Practice Address - Street 1:2020 GUNBARREL RD STE 160
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3899
Practice Address - Country:US
Practice Address - Phone:423-708-5244
Practice Address - Fax:423-708-5244
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty