Provider Demographics
NPI:1790954527
Name:AXIS CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:AXIS CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:C
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-764-0001
Mailing Address - Street 1:522 BELL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2002
Mailing Address - Country:US
Mailing Address - Phone:615-360-3000
Mailing Address - Fax:615-360-2327
Practice Address - Street 1:615 BAKERS BRIDGE AVENUE
Practice Address - Street 2:SUITE 120
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-764-0001
Practice Address - Fax:615-764-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty