| Spine Stop Portland, Pllc | |
|
305 S Broadway St, Portland, TN 37148-1413 | |
| (270) 237-3304 | |
| (270) 237-3305 |
| Full Name | Spine Stop Portland, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 305 S Broadway St, Portland, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659829562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2848 (Tennessee) | 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 | Taylor Elizabeth Thompson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205508082 PECOS PAC ID: 9234537283 Enrollment ID: I20211006001279 |
| Provider Name | Austin A Burgett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801404249 PECOS PAC ID: 7517377856 Enrollment ID: I20230714002516 |
| Provider Name | Tyler Womble |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346062346 PECOS PAC ID: 1850826710 Enrollment ID: I20241216002172 |
| Provider Name | Landon Griffith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225750714 PECOS PAC ID: 0345681029 Enrollment ID: I20250401000136 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Stop Portland, Pllc 352 Old Gallatin Rd, Scottsville, KY 42164-8666 Ph: (270) 237-3304 | Spine Stop Portland, Pllc 305 S Broadway St, Portland, TN 37148-1413 Ph: (270) 237-3304 |
Dr. David Eric Snook, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 826 S Broadway St, Portland, TN 37148 Phone: 615-826-7889 | |
Dr. Gary Todd Barker, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 826 S Broadway, Portland, TN 37148 Phone: 615-323-0130 Fax: 615-323-0136 | |
Precision Chiropractic Of Portland Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 826 S Broadway St, Portland, TN 37148 Phone: 217-260-7931 | |
Abrahamson Chiropractic And Wellness Of Portland Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 826 S Broadway St, Portland, TN 37148 Phone: 615-826-7889 |