Individual
ETHELWYNNE KELSEY TUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
506 N GARDEN ST, COLUMBIA, TN 38401-3220
(931) 490-0606
Mailing address
506 N GARDEN ST, COLUMBIA, TN 38401-3220
(931) 490-0606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0000000000
TN
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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