Individual
DR. KEITH ALAN AMODEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
777 W POPLAR AVE STE 104, COLLIERVILLE, TN 38017-6500
(901) 853-8270
Mailing address
777 W POPLAR AVE STE 104, COLLIERVILLE, TN 38017-6500
(901) 853-8270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0000002563
TN
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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