| Active Life Chiropractic & Rehabilitation Pc | |
|
11227 Lebanon Rd, Mt. Juliet, TN 37122 | |
| (615) 480-2056 | |
| Not Available |
| Full Name | Active Life Chiropractic & Rehabilitation Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11227 Lebanon Rd, Mt. Juliet, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942446109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2317 (Tennessee) | Primary |
| Provider Name | Rhett B Bruner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023253549 PECOS PAC ID: 7911060025 Enrollment ID: I20090115000800 |
| Provider Name | Kirby L Sanders |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164841599 PECOS PAC ID: 3274851621 Enrollment ID: I20150414002123 |
| Provider Name | Nicole Sandidge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154788792 PECOS PAC ID: 2062766165 Enrollment ID: I20181107003723 |
| Provider Name | Mary Margaret Mcguire |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306447404 PECOS PAC ID: 7618384884 Enrollment ID: I20210406001251 |
| Provider Name | Bryan Okland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124027800 PECOS PAC ID: 7719878057 Enrollment ID: I20230623002162 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Life Chiropractic & Rehabilitation Pc 11227 Lebanon Rd, Mt. Juliet, TN 37122 Ph: (615) 480-2056 | Active Life Chiropractic & Rehabilitation Pc 11227 Lebanon Rd, Mt. Juliet, TN 37122 Ph: (615) 480-2056 |