Organization
CROCKETT SPINE & SPORT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE WAYNE WHITBY DC (OWNER/CHIROPRACTIC PHYSICIAN)
(731) 234-6208
Entity
Organization
Contact information
Practice address
143 S BELLS ST, ALAMO, TN 38001-1731
(731) 696-2525
Mailing address
70 PECAN ST, ALAMO, TN 38001-1403
(731) 696-2525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
02/28/2020
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