Dr. Derek Alan Leist
Rehabilitation Chiropractor
204 Ward Cir Suite 300
Brentwood
, Tennessee 37027-7551
Dr. Derek Alan Leist
Rehabilitation Chiropractor
204 Ward Cir Suite 300
Brentwood
, Tennessee 37027-7551
(615) 915-3187
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Derek Alan Leist
- 204 Ward Cir Suite 300
- Brentwood, TN
- Zip : 37027-7551
- Fax : (615) 915-3187
- Phone : (615) 636-5923
Second Address
- Dr. Derek Alan Leist
- 204 Ward Cir Suite 300
- Brentwood, TN
- Zip : 37027-7551
- Fax : (615) 915-3187
- Phone : (615) 636-5923
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 2649 | TN |
National Provider Identifier
| NPI | 1073836342 |
|---|---|
| Provider Name | Dr. Derek Alan Leist |
| First Address | Brentwood, TN 37027-7551 |
| Second Address | Brentwood, TN 37027-7551 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2010 |
| Last Update Date | 10/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2649 | STATE LICENSE # (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.