| Spine Stop Lafayette, Pllc | |
|
501 Highway 52 Byp W, Lafayette, TN 37083-2636 | |
| (270) 237-3304 | |
| Not Available |
| Full Name | Spine Stop Lafayette, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 501 Highway 52 Byp W, Lafayette, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194315846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Grant Guy Watkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144251448 PECOS PAC ID: 0547227464 Enrollment ID: I20180829004014 |
| Provider Name | Colin Grant Fultz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154856292 PECOS PAC ID: 0345510012 Enrollment ID: I20210215001110 |
| Provider Name | Dustin Levi Mcqueary |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255894135 PECOS PAC ID: 6608104294 Enrollment ID: I20210223000962 |
| Provider Name | Taylor Elizabeth Thompson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205508082 PECOS PAC ID: 9234537283 Enrollment ID: I20211006001279 |
| Provider Name | Rachel Mae Yeary |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730851544 PECOS PAC ID: 7214335173 Enrollment ID: I20211012000839 |
| Provider Name | John Tysdal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760147508 PECOS PAC ID: 2062801020 Enrollment ID: I20211112000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Stop Lafayette, Pllc 352 Old Gallatin Rd, Scottsville, KY 42164-8666 Ph: () - | Spine Stop Lafayette, Pllc 501 Highway 52 Byp W, Lafayette, TN 37083-2636 Ph: (270) 237-3304 |
Kevin James Gocha, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 307 Church St, Lafayette, TN 37083 Phone: 615-666-2106 Fax: 615-666-7909 | |
Roger D. Ellis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1508 Scottsville Rd, Lafayette, TN 37083 Phone: 501-749-6205 | |
Dr. Brad James Hagan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 429 Highway 52 Byp W, Lafayette, TN 37083 Phone: 615-688-2225 Fax: 615-688-4249 | |
John Tysdal, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 501 Highway 52 Byp W, Lafayette, TN 37083 Phone: 636-208-8163 |