Spine & Sport Rehabilitation Institute

NPI #1609288802 in Brentwood, Tennessee

Provider Information

NPI Number: 1609288802
Entity Type: Organization
Organization Name: Spine & Sport Rehabilitation Institute
Primary Specialty: Chiropractor
Enumeration Date: May 22, 2014
Last Updated: May 22, 2014

Practice Location

Address: 217 JAMESTOWN PARK
Address 2: SUITE 5
City: Brentwood
State: Tennessee
ZIP Code: 37027-1500
Phone: (615) 861-9559

Authorized Official

Name: DR. AUDRA LANCE, D.C.
Title: OWNER/TREATING PHYSICIAN
Phone: (615) 861-9559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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