Tristar Spine and Sport Chiropractic LLC

NPI #1629827159 in Bristol, Tennessee

Provider Information

NPI Number: 1629827159
Entity Type: Organization
Organization Name: Tristar Spine and Sport Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: May 16, 2024
Last Updated: Sep 18, 2025

Practice Location

Address: 126 MLK JR BLVD STE A
City: Bristol
State: Tennessee
ZIP Code: 37620-4078
Phone: (423) 764-2663

Authorized Official

Name: THADDEUS KEKLAK, D.C.
Title: OWNER, CHIROPRACTOR
Phone: (423) 360-7366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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