Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1740 | TN |
NPI | 1003817446 |
---|---|
Provider Name | Dr. Amy Michelle Carpenter |
First Address | Nashville, TN 37214-2445 |
Second Address | Nashville, TN 37214-2445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 29/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U81960 | (02) |