Organization
ACTIVE LIFE CHIROPRACTIC & REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHETT BENJAMIN BRUNER D.C. (PROVIDER)
(615) 480-2056
Entity
Organization
Contact information
Practice address
11227 LEBANON RD, MT. JULIET, TN 37122
(615) 480-2056
Mailing address
11227 LEBANON RD, MT. JULIET, TN 37122
(615) 480-2056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2317
TN
Other
Enumeration date
12/18/2008
Last updated
01/05/2009
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