Individual
MR. STEVEN RAY AMODEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
777 W POPLAR AVE, SUITE 104, COLLIERVILLE, TN 38017-2592
(901) 853-8270
(901) 854-5193
Mailing address
PO BOX 726, COLLIERVILLE, TN 38027-0726
(901) 853-8270
(901) 854-5193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 173
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026135
BCBS
TN
Enumeration date
08/02/2006
Last updated
03/14/2012
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