| Elevate Sport And Spine, Llc | |
|
101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | |
| (423) 239-9122 | |
| (423) 239-7991 |
| Full Name | Elevate Sport And Spine, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 101 Professional Park Pvt Dr, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932865409 | NPI | - | NPPES |
| Q070613 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| Provider Name | Preston S Douglas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922696780 PECOS PAC ID: 9931518180 Enrollment ID: I20220309000701 |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Sport And Spine, Llc 4012 Fort Henry Dr, Kingsport, TN 37663-2028 Ph: (423) 502-3776 | Elevate Sport And Spine, Llc 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 Ph: (423) 239-9122 |
Dr. Jon R. Krutak, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4924 Fort Henry Dr, Suite E, Kingsport, TN 37663 Phone: 423-239-7340 Fax: 423-239-7452 | |
Haun Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 2105 E Center St, Suite C, Kingsport, TN 37664 Phone: 423-765-9911 Fax: 423-765-9912 | |
Dr. Ava R Carter, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1567 N Eastman Road, Kingsport, TN 37664 Phone: 423-246-9353 Fax: 423-246-8849 | |
Michael Haun, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2105 E Center St Ste C, Kingsport, TN 37664 Phone: 423-765-9911 | |
Dr. H. David Merrill, DAVID MERRILL D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2504 E Center St, Kingsport, TN 37664 Phone: 423-378-7878 | |
Dr. Brett Tyson Salley, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2313 East Center St, Suite A, Kingsport, TN 37664 Phone: 423-247-4400 Fax: 423-247-4404 | |
Dr. William David Hamilton, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 205 E Sullivan St, Kingsport, TN 37660 Phone: 423-245-6189 Fax: 423-378-4837 |