Provider Demographics
NPI:1497954366
Name:ZENKER, BLAIR TAYLOR (DC)
Entity Type:Individual
Prefix:
First Name:BLAIR
Middle Name:TAYLOR
Last Name:ZENKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BLAIR
Other - Middle Name:TAYLOR
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 S CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-3617
Mailing Address - Country:US
Mailing Address - Phone:615-549-8070
Mailing Address - Fax:615-549-8070
Practice Address - Street 1:108 S CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3617
Practice Address - Country:US
Practice Address - Phone:615-549-8070
Practice Address - Fax:615-549-8070
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010744111N00000X
TN2705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor