Individual
LEE MICHAEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5180 PARK AVE, SUITE 130, MEMPHIS, TN 38119-3521
(303) 918-1431
Mailing address
10198 NEEDLE PINE DR, CORDOVA, TN 38016-0714
(303) 918-1431
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5549
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2354
TENNESSEE STATE
TN
01
—
CO 5549
STATE LICENSE NUMBER
CO
Enumeration date
04/02/2007
Last updated
11/01/2012
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