Organization
BACK TO HEALTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA SHAWN HALL D.C. (OWNER / DOCTOR)
(931) 372-2225
Entity
Organization
Contact information
Practice address
419 E BROAD ST, COOKEVILLE, TN 38501-3339
(931) 372-2225
(931) 372-2338
Mailing address
419 E BROAD ST, COOKEVILLE, TN 38501-3339
(931) 372-2225
(931) 372-2338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000002258
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3670112
—
TN
05
—
36701121
—
TN
Enumeration date
10/28/2008
Last updated
09/14/2010
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