Organization
IDEAL STRUCTURAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN R BURFORD DC (DOCTOR OF CHIROPRACTIC)
(901) 853-1734
Entity
Organization
Contact information
Practice address
346 NEW BYHALIA RD STE 3, COLLIERVILLE, TN 38017-3741
(901) 853-1734
(901) 854-1166
Mailing address
346 NEW BYHALIA RD STE 3, COLLIERVILLE, TN 38017-3741
(901) 853-1734
(901) 854-1166
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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