Provider Demographics
NPI:1932635786
Name:BROCKMAN, CARLEE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:CARLEE
Middle Name:LYNN
Last Name:BROCKMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 OXFORD GLN
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8656
Mailing Address - Country:US
Mailing Address - Phone:615-656-0464
Mailing Address - Fax:
Practice Address - Street 1:2090 OXFORD GLN
Practice Address - Street 2:SUITE 600
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8656
Practice Address - Country:US
Practice Address - Phone:615-656-0464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor