Provider Demographics
NPI:1689972655
Name:RUTHERFORD BACK INSTITUTE
Entity Type:Organization
Organization Name:RUTHERFORD BACK INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:STARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-962-8219
Mailing Address - Street 1:3624 LASCASSAS PIKE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-6856
Mailing Address - Country:US
Mailing Address - Phone:615-962-8219
Mailing Address - Fax:615-410-7169
Practice Address - Street 1:3624 LASCASSAS PIKE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-6856
Practice Address - Country:US
Practice Address - Phone:615-962-8219
Practice Address - Fax:615-410-7169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC2230111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty