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Life Source Creating Wellness Ctr INC

NPI #1073754032 in Dickson, Tennessee

Provider Information

NPI Number
1073754032
Entity Type
Organization
Organization Name
Life Source Creating Wellness Ctr INC
Primary Specialty
Chiropractor
Enumeration Date
Mar 20, 2009
Last Updated
Aug 3, 2016

Practice Location

Address
491 HENSLEE DR
City
Dickson
State
Tennessee
ZIP Code
37055-2166
Phone
(615) 441-6115

Authorized Official

Name
CHAD M UPCHURCH, D.C.
Title
OWNER
Phone
(615) 441-6115

Specialties & Taxonomy Codes

Specialty
Chiropractor

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