Organization
BACK TO LIFE CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILA L FOSTER D.C. (CO-OWNER)
(615) 834-2600
Entity
Organization
Contact information
Practice address
5511 EDMONDSON PIKE, SUITE 205, NASHVILLE, TN 37211-5870
(615) 834-2600
(615) 834-2662
Mailing address
5511 EDMONDSON PIKE, SUITE 205, NASHVILLE, TN 37211-5870
(615) 834-2600
(615) 834-2662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2059 AND 2064
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4116805
BCBS OF TN
TN
Enumeration date
07/21/2006
Last updated
08/22/2020
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