BACK TO HEALTH CHIROPRACTIC, LLC (NPI# 1053564583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053564583 |
| Entity Type | Organization |
| Organization Name | BACK TO HEALTH CHIROPRACTIC, LLC |
| Practice Address |
419 E Broad St Cookeville TN 38501-3339 |
| Practice Telephone | 9313722225 |
| Practice Fax Number | 9313722338 |
| Mailing Telephone | 9313722225 |
| Mailing Fax Number | 9313722338 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2010-09-14 |
| Authorized Official Name | DR. MELISSA SHAWN HALL (OWNER / DOCTOR) |
| Authorized Official Telephone | 9313722225 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC0000002258 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3670112 | 05 | |
| TN | 36701121 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714086 | Back To Health Chiropractic, LLC | Chiropractor | 801 Chickamauga Ave, Rossville, GA 30741-1406 | 2020-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Back To Health Chiropractic, LLC | 273 E. 29th Street Suite B, Loveland, CO 80538 |
| Washington State Corporations | BACK TO HEALTH CHIROPRACTIC, LLC | 20930 108th Ave Se, Kent, WA 98031-1101 |
| Street Address |
419 E BROAD ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842792 | Kimberly Lane | Speech-Language Pathologist | 419 E Broad St, Cookeville, TN 38501-3339 | 2020-02-11 |
| 1790242790 | Kelli Leeann Morgan | Speech-Language Pathologist | 419 E Broad St, Cookeville, TN 38501-3339 | 2019-02-26 |
| 1710454590 | Allison Stalvey | Physical Therapist | 419 E Broad St, Cookeville, TN 38501-3339 | 2018-10-30 |
| 1821590845 | Meghan Sloggett | Physical Therapist | 419 E Broad St, Cookeville, TN 38501-3339 | 2018-03-06 |
| 1538661566 | Elizabeth Carter Reeder | Occupational Therapist | 419 E Broad St, Cookeville, TN 38501-3339 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039459 | Ben Johnson | Chiropractor | 1265 Interstate Dr Ste 201b, Cookeville, TN 38501-5227 | 2020-09-30 |
| 1841821873 | Providence Health Solutions LLC | Chiropractor | 1265 Interstate Dr, Cookeville, TN 38501-5195 | 2020-01-29 |
| 1588195085 | Trevor Dean Eason | Chiropractor | 13 N Oak Ave, Cookeville, TN 38501-2433 | 2017-03-26 |
| 1396113833 | Olds Chiropractic Clinic P.C. | Chiropractor | 38 W Jackson St, Cookeville, TN 38501-3926 | 2015-09-14 |
| 1538301288 | Jamie Marie Galperin | Chiropractor | 222 W Spring St, Cookeville, TN 38501-3228 | 2009-03-26 |
| 1790981249 | Eastern Star LLC | Chiropractor | 280 S Jefferson Ave, Cookeville, TN 38501-3453 | 2007-06-22 |
| 1710043773 | Joseph B Clifford | Chiropractor | 404 E Broad St, Cookeville, TN 38501-3340 | 2006-12-27 |
| 1689738163 | William Edward Barrett | Chiropractor | 605 N Willow Ave, Cookeville, TN 38501-1747 | 2006-12-20 |
| 1649338880 | David Rome Silvey | Chiropractor | 831 W Jackson St, Cookeville, TN 38501-5940 | 2006-12-04 |
| 1114006855 | Todd F Froehlich | Chiropractor | 440 S Lowe Ave, Suite#28, Cookeville, TN 38501-4735 | 2006-11-03 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on BACK TO HEALTH CHIROPRACTIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.