| Live Well Chiropractic | |
|
131 Maple Row Blvd Ste D400 Hendersonville TN 37075-3777 | |
| (161) 543-1239 | |
| Not Available |
| Full Name | Live Well Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 131 Maple Row Blvd Ste D400, Hendersonville, Tennessee |
| Authorized Official Name and Position | Zachariah Penwell (OWNER/CLINICIAN) |
| Authorized Official Contact | 6154312397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Chiropractic 131 Maple Row Blvd Ste D400 Hendersonville TN 37075-3777 Ph: (161) 543-1239 | Live Well Chiropractic 131 Maple Row Blvd Ste D400 Hendersonville TN 37075-3777 Ph: (161) 543-1239 |
| NPI Number | 1861147381 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 05/09/2022 |
| Medicare PECOS PAC ID | 4789078197 |
|---|---|
| Medicare Enrollment ID | O20220301001762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861147381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Zachariah Penwell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235800491 PECOS PAC ID: 9234537150 Enrollment ID: I20220301001849 |
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