Provider Demographics
NPI:1821556242
Name:CHIRO PLACE OF BARTLETT PC
Entity Type:Organization
Organization Name:CHIRO PLACE OF BARTLETT PC
Other - Org Name:THE CHIRO PLACE OF BARTLETT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:901-221-7173
Mailing Address - Street 1:3615 S HOUSTON LEVEE RD
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-9192
Mailing Address - Country:US
Mailing Address - Phone:901-221-7173
Mailing Address - Fax:901-221-7934
Practice Address - Street 1:2690 KIRBY WHITTEN RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-4741
Practice Address - Country:US
Practice Address - Phone:901-221-7173
Practice Address - Fax:901-221-7934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty