Crockett Spine & Sport Pllc

NPI #1174153738 in Alamo, Tennessee

Provider Information

NPI Number: 1174153738
Entity Type: Organization
Organization Name: Crockett Spine & Sport Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jan 23, 2020
Last Updated: Feb 28, 2020

Practice Location

Address: 143 S BELLS ST
City: Alamo
State: Tennessee
ZIP Code: 38001-1731
Phone: (731) 696-2525

Authorized Official

Name: DR. JAKE WAYNE WHITBY, DC
Title: OWNER/CHIROPRACTIC PHYSICIAN
Phone: (731) 234-6208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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