Organization
PREVAIL REHAB AND PERFORMANCE, PLLC
Active
Other names
Elite Health and Performance Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK ALAN LEIST DC (OWNER)
(615) 636-5923
Entity
Organization
Contact information
Practice address
204 WARD CIR STE 300, BRENTWOOD, TN 37027-7551
(615) 636-5923
Mailing address
1712 GLENRIDGE DR, NASHVILLE, TN 37221-5326
(615) 636-5923
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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