Provider Demographics
NPI:1134982408
Name:CHIRO TESS, LLC
Entity type:Organization
Organization Name:CHIRO TESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:BINVERSIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-557-8388
Mailing Address - Street 1:125 LEIGH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:IL
Mailing Address - Zip Code:62906-2236
Mailing Address - Country:US
Mailing Address - Phone:270-557-8388
Mailing Address - Fax:
Practice Address - Street 1:125 LEIGH AVE STE B
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:IL
Practice Address - Zip Code:62906-2236
Practice Address - Country:US
Practice Address - Phone:270-557-8388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty