Organization
PROMASSAGE & CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELISA ELLIS LMT (PRESIDENT)
(615) 448-6446
Entity
Organization
Contact information
Practice address
907 RIVERGATE PKWY STE E4, GOODLETTSVILLE, TN 37072-2333
(615) 448-6446
Mailing address
907 RIVERGATE PKWY STE E4, GOODLETTSVILLE, TN 37072-2333
(615) 448-6446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2840
TN
225700000X
Massage Therapist
Primary
7924
TN
Other
Enumeration date
02/12/2015
Last updated
09/09/2016
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