Provider Demographics
NPI:1891404471
Name:NATIVE SPINE AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:NATIVE SPINE AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-355-1022
Mailing Address - Street 1:240 MAYFIELD DR STE 108
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3026
Mailing Address - Country:US
Mailing Address - Phone:615-355-1022
Mailing Address - Fax:615-355-0459
Practice Address - Street 1:240 MAYFIELD DR STE 108
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3026
Practice Address - Country:US
Practice Address - Phone:615-355-1022
Practice Address - Fax:615-355-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty