Organization
HEALTHFIRST 002 LLC
Active
Other names
Longo Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE M LONGO D.C. (OWNER)
(931) 905-1720
Entity
Organization
Contact information
Practice address
2269 WILMA RUDOLPH BLVD STE 107, CLARKSVILLE, TN 37040-8416
(931) 905-1720
(931) 905-1721
Mailing address
2269 WILMA RUDOLPH BLVD, SUITE 107, CLARKSVILLE, TN 37040-3179
(931) 905-1720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2132
TN
Other
Enumeration date
10/02/2006
Last updated
09/05/2008
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