Individual
CHRISTOPHER ANTONINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
210 25TH AVE N STE 521, NASHVILLE, TN 37203-1636
(615) 647-7226
Mailing address
1114B WADE AVE, NASHVILLE, TN 37203-5424
(908) 461-6862
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3662
STATE CHIROPRACTIC LICENSE NUMBER
TN
Enumeration date
12/23/2022
Last updated
12/23/2022
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