Organization
A HEALTHY LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WAYNE HOLT D.C. (CHIROPRACTIC PHYSICIAN/OWNER)
(865) 988-9004
Entity
Organization
Contact information
Practice address
1005 E BDWY, LENOIR CITY, TN 37771-2004
(865) 988-9004
(865) 988-0042
Mailing address
1005 E BDWY, LENOIR CITY, TN 37771-2004
(865) 988-9004
(865) 988-0042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3128665
BCBS
TN
01
—
4308504
CIGNA
—
01
—
7695120
AETNA
TN
01
—
U75211
UPIN
TN
Enumeration date
10/07/2008
Last updated
10/07/2008
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