Provider Demographics
NPI:1396982070
Name:KEISER, MATTHEW L (DC)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:L
Last Name:KEISER
Suffix:
Gender:M
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:PO BOX 680245
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-0245
Mailing Address - Country:US
Mailing Address - Phone:615-208-9010
Mailing Address - Fax:615-208-9020
Practice Address - Street 1:1910 CHURCH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2204
Practice Address - Country:US
Practice Address - Phone:615-208-9010
Practice Address - Fax:615-208-9020
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2341111N00000X
VA0104556655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor