Provider Demographics
NPI:1942495585
Name:CHIROPRACTIC ASSOCIATES OF MURFREESBORO, PLLC
Entity Type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES OF MURFREESBORO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:615-494-1125
Mailing Address - Street 1:710 MEMORIAL BLVD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2791
Mailing Address - Country:US
Mailing Address - Phone:615-494-1125
Mailing Address - Fax:615-494-1127
Practice Address - Street 1:710 MEMORIAL BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2791
Practice Address - Country:US
Practice Address - Phone:615-494-1125
Practice Address - Fax:615-494-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty