Provider Demographics
NPI:1659757128
Name:IN TOUCH CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:IN TOUCH CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:VILLALOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-919-3225
Mailing Address - Street 1:204 HARNETT CT STE B
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-2067
Mailing Address - Country:US
Mailing Address - Phone:931-919-3225
Mailing Address - Fax:919-931-2967
Practice Address - Street 1:204 HARNETT CT STE B
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-2067
Practice Address - Country:US
Practice Address - Phone:931-919-3225
Practice Address - Fax:919-931-2967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2634111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659757128OtherNPI