Provider Demographics
NPI:1568063279
Name:WEBB, GARRETT LEE (DC)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:LEE
Last Name:WEBB
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 1:241 W NORTHFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1506
Mailing Address - Country:US
Mailing Address - Phone:615-907-7400
Mailing Address - Fax:615-907-7435
Practice Address - Street 1:241 W NORTHFIELD BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1506
Practice Address - Country:US
Practice Address - Phone:615-907-7400
Practice Address - Fax:615-907-7435
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor