| Midtn Integrative Therapeutics, Llc | |
|
440 Park Ave Ste D Lebanon TN 37087-3665 | |
| (518) 817-3462 | |
| Not Available |
| Full Name | Midtn Integrative Therapeutics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 440 Park Ave Ste D, Lebanon, Tennessee |
| Authorized Official Name and Position | Brent Edward Farris (OWNER) |
| Authorized Official Contact | 5188173462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtn Integrative Therapeutics, Llc 200 Lowell Ct Old Hickory TN 37138-1244 Ph: (518) 817-3462 | Midtn Integrative Therapeutics, Llc 440 Park Ave Ste D Lebanon TN 37087-3665 Ph: (518) 817-3462 |
| NPI Number | 1851186720 |
|---|---|
| Provider Enumeration Date | 04/11/2025 |
| Last Update Date | 04/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851186720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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