Organization
TRISTAR SPINE AND SPORT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS KEKLAK D.C. (OWNER, CHIROPRACTOR)
(423) 360-7366
Entity
Organization
Contact information
Practice address
126 MLK JR BLVD STE A, BRISTOL, TN 37620-4078
(423) 764-2663
(423) 793-1100
Mailing address
126 MLK JR BLVD STE A, BRISTOL, TN 37620-4078
(423) 764-2663
(423) 793-1100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
09/18/2025
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