Individual
REX WAYNE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
156 W. UNIVERSITY PARKWAY, SUITE A, JACKSON, TN 38305
(731) 664-5681
(731) 664-5393
Mailing address
156 W. UNIVERSITY PARKWAY, SUITE A, JACKSON, TN 38305
(731) 664-5681
(731) 664-5393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC135
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3671351
—
TN
Enumeration date
08/29/2006
Last updated
11/28/2011
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