Provider Demographics
NPI:1881083012
Name:YOKLEY CHIROPRACTIC AND WELLNESS CENTER
Entity type:Organization
Organization Name:YOKLEY CHIROPRACTIC AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:BOONE
Authorized Official - Last Name:YOKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-244-6918
Mailing Address - Street 1:304 CREWS ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-4429
Mailing Address - Country:US
Mailing Address - Phone:931-244-6918
Mailing Address - Fax:931-244-6950
Practice Address - Street 1:304 CREWS ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-4429
Practice Address - Country:US
Practice Address - Phone:931-244-6918
Practice Address - Fax:931-244-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2808111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I350793OtherMEDICARE PTAN