Provider Demographics
NPI:1912376401
Name:KNIGHT FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:KNIGHT FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:KNIGHT-NANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-856-1902
Mailing Address - Street 1:4720 TRADERS WAY STE 1000
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-5493
Mailing Address - Country:US
Mailing Address - Phone:615-241-0233
Mailing Address - Fax:615-535-5946
Practice Address - Street 1:750 OLD HICKORY BLVD BLDG 2
Practice Address - Street 2:SUITE 150
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4528
Practice Address - Country:US
Practice Address - Phone:615-856-1902
Practice Address - Fax:888-447-9206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty