Provider Demographics
NPI:1366853632
Name:EXPLORE CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:EXPLORE CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:T
Authorized Official - Last Name:BLACKBURN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-758-5650
Mailing Address - Street 1:14811 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-1820
Mailing Address - Country:US
Mailing Address - Phone:615-758-5650
Mailing Address - Fax:615-758-5651
Practice Address - Street 1:14811 LEBANON RD
Practice Address - Street 2:
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138-1820
Practice Address - Country:US
Practice Address - Phone:615-758-5650
Practice Address - Fax:615-758-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2657111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty