Provider Demographics
NPI:1649530239
Name:MOSELEY, COURTNEY LEE (DC)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:LEE
Last Name:MOSELEY
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 1:842 CONFERENCE DR
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1929
Mailing Address - Country:US
Mailing Address - Phone:615-881-2607
Mailing Address - Fax:
Practice Address - Street 1:842 CONFERENCE DR
Practice Address - Street 2:SUITE 1B
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1929
Practice Address - Country:US
Practice Address - Phone:615-881-2607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor