Active Life Chiropractic & Rehabilitation Pc | |
11227 Lebanon Rd, Mt. Juliet, TN 37122 | |
(615) 480-2056 | |
Not Available |
Full Name | Active Life Chiropractic & Rehabilitation Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11227 Lebanon Rd, Mt. Juliet, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942446109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2317 (Tennessee) | Primary |
Provider Name | Rhett B Bruner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1023253549 PECOS PAC ID: 7911060025 Enrollment ID: I20090115000800 |
Provider Name | Kirby L Sanders |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164841599 PECOS PAC ID: 3274851621 Enrollment ID: I20150414002123 |
Provider Name | Nicole Sandidge |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154788792 PECOS PAC ID: 2062766165 Enrollment ID: I20181107003723 |
Provider Name | Mary Margaret Mcguire |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306447404 PECOS PAC ID: 7618384884 Enrollment ID: I20210406001251 |
Provider Name | Bryan Okland |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1124027800 PECOS PAC ID: 7719878057 Enrollment ID: I20230623002162 |
Mailing Address | Practice Location Address |
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Active Life Chiropractic & Rehabilitation Pc 11227 Lebanon Rd, Mt. Juliet, TN 37122 Ph: (615) 480-2056 | Active Life Chiropractic & Rehabilitation Pc 11227 Lebanon Rd, Mt. Juliet, TN 37122 Ph: (615) 480-2056 |