Organization
PENDERGRASS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE BROOKE PENDERGRASS D.C. (CHIROPRACTOR/OWNER)
(615) 499-5848
Entity
Organization
Contact information
Practice address
854 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3391
(615) 499-5848
(615) 758-3437
Mailing address
854 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3391
(615) 499-5848
(615) 758-3437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2521
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770841983
NPI TYPE 1
TN
Enumeration date
05/31/2012
Last updated
06/28/2012
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