DETWEILER CHIROPRACTIC HEALTH SERVICES OF TN, PLLC (NPI# 1548619497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548619497 |
| Entity Type | Organization |
| Organization Name | DETWEILER CHIROPRACTIC HEALTH SERVICES OF TN, PLLC |
| Other Organization Name | MID-SOUTH SPINE AND SPORTS PERFORMANCE |
| Practice Address |
556 Trinity Creek Cv Cordova TN 38018-2279 |
| Mailing Address |
9740 Royal Chartres Sq N #201 Cordova TN 38018-4423 |
| Practice Telephone | 9015732526 |
| Practice Fax Number | 9016142523 |
| Mailing Telephone | 9015732526 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | DR. TYREL DETWEILER (OWNER/CHIROPRACTIC PHYSICIAN) |
| Authorized Official Telephone | 9015732526 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2894 | TN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Mid-South Spine and Sports Performance | Doing Business As Name - Organization |
| Street Address |
556 TRINITY CREEK CV |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245392067 | Robert James Bussenger | Chiropractor | 1600 Bonnie Ln Ste 102, Cordova, TN 38016-0510 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427229343 | Rowan Chiropractic | Chiropractor | 2193 N Main St, Suite 103, Crossville, TN 38555-6737 | 2008-03-19 |
| 1790825149 | Christopher Dale Bennett | Chiropractor | 3018 South Mall Road, Knoxville, TN 37917 | 2007-02-07 |
| 1285792929 | Marco E. Castaneda | Chiropractor | 7786 Emory Chase Ln, Knoxville, TN 37918-6147 | 2006-12-05 |
| 1942306253 | Jeffrey Mckinley | Chiropractor | 358 Caldwell St, Mcminnville, TN 37110-2032 | 2006-09-15 |
| 1093826786 | Daniel Steven Giammo | Chiropractor | 11653 Chapman Hwy, Seymour, TN 37865-5099 | 2006-08-31 |
| 1801807698 | Samuel F Messimer | Chiropractor | 501 W Oakland Ave, Suite #3, Johnson City, TN 37604-1666 | 2006-08-10 |
| 1467410589 | Andrew Charles Rowan | Chiropractor | 28 Fountain Sq, Crossville, TN 38555-8790 | 2006-05-01 |
| 1710949722 | Joel W Durham | Chiropractor | 25 Corporate Blvd, Jackson, TN 38305-2314 | 2006-04-05 |
| 1902806201 | Keith Bradford Graves | Chiropractor | 2819 Dogwood Pl, Nashville, TN 37204-3105 | 2005-07-28 |
| 1730631862 | Jenson Elijah Gillette | Chiropractor | 2805 Azalea Pl, Nashville, TN 37204-3117 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
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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.