Provider Demographics
NPI:1366259699
Name:GUNTER, RILEY PARKS (DC)
Entity type:Individual
Prefix:DR
First Name:RILEY
Middle Name:PARKS
Last Name:GUNTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 RESERVE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-0735
Mailing Address - Country:US
Mailing Address - Phone:615-653-4541
Mailing Address - Fax:
Practice Address - Street 1:2040 RESERVE BLVD STE A
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-0735
Practice Address - Country:US
Practice Address - Phone:615-653-4541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor