SELF HEALTH AND WELLNESS CENTER, LLC (NPI# 1629260831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629260831 |
| Entity Type | Organization |
| Organization Name | SELF HEALTH AND WELLNESS CENTER, LLC |
| Practice Address |
115 Gresham Rd Knoxville TN 37918-3209 |
| Practice Telephone | 8656877600 |
| Mailing Telephone | 8656877600 |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2007-08-11 |
| Authorized Official Name | DR. JOHN MICHAEL SELF JR. (BUS. OWNER/CHIROPRACTIC PHYSICIAN) |
| Authorized Official Telephone | 8656877600 |
| Authorized Official Credential | DC, CERT. A/P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0000001403 | TN | Chiropractic Providers |
| Street Address |
115 GRESHAM RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073722443 | John Michael Self Jr. | Chiropractor | 115 Gresham Rd, Knoxville, TN 37918-3209 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| 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 |
|---|---|---|---|---|
| 1477176105 | Ryan Dolan | Chiropractor | 5400 Clinton Hwy Ste 105, Knoxville, TN 37912-3444 | 2020-05-28 |
| 1134779226 | Matthew Cain | Chiropractor | 7039 Maynardville Pike, Knoxville, TN 37918-5735 | 2019-09-19 |
| 1902379746 | The Vitality Chiropractic PC | Chiropractor | 7216 Wellington Dr Ste 3, Knoxville, TN 37919-5931 | 2019-01-04 |
| 1326554577 | Natalie Kurylo | Chiropractor | 1400 N 6th Ave # E1, Knoxville, TN 37917-6043 | 2017-12-26 |
| 1023528486 | Ryan Teeter | Chiropractor | 117 Center Park Dr Ste 333, Knoxville, TN 37922-2171 | 2017-10-11 |
| 1043750888 | Kristin Drumheller | Chiropractor | 5400 Clinton Hwy, Suite 105, Knoxville, TN 37912-3458 | 2017-02-27 |
| 1992179956 | Bridges Chiropractic | Chiropractor | 117 Huxley Rd Ste B1, Knoxville, TN 37922-3180 | 2015-11-13 |
| 1891171187 | Sara Nelson | Chiropractor | 7827 Montvue Center Way, Knoxville, TN 37919-5575 | 2015-08-10 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1750719191 | The Health Factory Pllc | Chiropractor | 2900 Alcoa Hwy, Knoxville, TN 37920-4782 | 2013-10-22 |
| Find all providers in KNOXVILLE | ||||
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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.