Organization
RIVERSIDE SPINE & PHYSICAL MEDICINE, PC
Active
Other names
Riverside Spine & physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J CHESTER CPC,CPB,CPMA,CTA (ADMIN)
(931) 542-9420
Entity
Organization
Contact information
Practice address
121 W DUNBAR CAVE RD, CLARKSVILLE, TN 37040-6037
(931) 542-9420
(931) 542-9422
Mailing address
121 W DUNBAR CAVE RD, CLARKSVILLE, TN 37040-6037
(931) 542-9420
(931) 542-9422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
MD28572
TN
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336490266
1336490266
IL
01
—
1598899429
1598899429
TN
Enumeration date
04/09/2014
Last updated
04/13/2023
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