Provider Demographics
NPI:1598497208
Name:GOFF, NATALEE ANTOINETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:NATALEE
Middle Name:ANTOINETTE
Last Name:GOFF
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 1:5141 VIRGINIA WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7573
Mailing Address - Country:US
Mailing Address - Phone:629-204-4397
Mailing Address - Fax:
Practice Address - Street 1:5141 VIRGINIA WAY STE 200
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7573
Practice Address - Country:US
Practice Address - Phone:629-204-4397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3266111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty