Provider Demographics
NPI:1811019516
Name:CAUGHEY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:CAUGHEY CHIROPRACTIC PLLC
Other - Org Name:CHIROPRACTICUSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:CAUGHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:901-761-1007
Mailing Address - Street 1:6300 POPLAR AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4711
Mailing Address - Country:US
Mailing Address - Phone:901-761-1007
Mailing Address - Fax:901-682-3155
Practice Address - Street 1:6300 POPLAR AVE
Practice Address - Street 2:STE 103
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4711
Practice Address - Country:US
Practice Address - Phone:901-761-1007
Practice Address - Fax:901-682-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty