MARK ANDREW WYATT (NPI# 1184692014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184692014 |
| Entity Type | Individual |
| Full Name | MARK ANDREW WYATT |
| Credential | DC |
| Practice Address |
2106a Trenton Rd Wyatt Family Chiropractic Clarksville TN 37040-1609 |
| Mailing Address |
2106a Trenton Rd Dr Mark A Wyatt Clarksville TN 37040-1609 |
| Practice Telephone | 9316477677 |
| Practice Fax Number | 9316470122 |
| Mailing Telephone | 9316477677 |
| Mailing Fax Number | 9316470122 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC0000002098 | TN | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 2098 | TN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740588557 | Mark Linsley Wyatt | Counselor | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2011-03-02 |
| 1245347194 | Mark S Wyatt | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2006-08-24 |
| Street Address |
2106A TRENTON RD WYATT FAMILY CHIROPRACTIC |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1043847593 | Elevation Chiropractic Pllc | Chiropractor | 1825 Madison St Ste D, Clarksville, TN 37043-6589 | 2020-03-25 |
| 1265983639 | Fort Campbell Chiropractic Pllc | Chiropractor | 1881 Fort Campbell Blvd, Suite B, Clarksville, TN 37042-5109 | 2016-10-20 |
| 1669921169 | French Family Chiropractic | Chiropractor | 1990 Madison St, Clarksville, TN 37043-8071 | 2016-09-25 |
| 1245623446 | Dr. Keith Wein D.c. Psc | Chiropractor | 2328 Redwood Pl, Clarksville, IN 47129-1280 | 2015-03-12 |
| 1225380280 | Brenda Colleen O'neil | Chiropractor | 204 Harnett Ct Ste B, Clarksville, TN 37043-2067 | 2012-10-15 |
| 1356690754 | Clarksville Chiropractic Center, Pllc | Chiropractor | 1636 Madison Street, Clarksville, TN 37043 | 2012-08-31 |
| 1851646186 | Laura Alexandra Colman | Chiropractor | 894 Highway 76, Suite 104, Clarksville, TN 37043-5395 | 2012-07-24 |
| 1699035493 | Steven P Bailey D.c, P.c | Chiropractor | 2121 Wilma Rudolph Blvd Ste A, Clarksville, TN 37040-6877 | 2012-05-25 |
| 1053680538 | Dr. David Mark Allen PC | Chiropractor | 625 N Riverside Dr, Clarksville, TN 37040-3127 | 2011-12-29 |
| 1679872790 | Care Chiropractic Pllc | Chiropractor | 2106 Trenton Rd Ste A, Clarksville, TN 37040-1633 | 2011-03-16 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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| 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.