Individual
DR. BRETT TYSON SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2313 EAST CENTER ST, SUITE A, KINGSPORT, TN 37664-2798
(423) 247-4400
(423) 247-4404
Mailing address
2313 EAST CENTER ST, SUITE A, KINGSPORT, TN 37664-2798
(423) 247-4400
(423) 247-4404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1059
TN
111N00000X
Chiropractor
2724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3677584
—
TN
Enumeration date
08/06/2007
Last updated
08/06/2007
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