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Organization

SPINE & SPORT REHABILITATION INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AUDRA LANCE D.C. (OWNER/TREATING PHYSICIAN)
(615) 861-9559
Entity
Organization

Contact information

Practice address
217 JAMESTOWN PARK, SUITE 5, BRENTWOOD, TN 37027-1500
(615) 861-9559
(615) 704-0039
Mailing address
217 JAMESTOWN PARK, SUITE 5, BRENTWOOD, TN 37027-1500
(615) 861-9559
(615) 704-0039

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2744
TN

Other

Enumeration date
05/22/2014
Last updated
05/22/2014
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