Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 2115 | TN |
N | 111NS0005X | Chiropractic Sports Physician | 2115 | TN |
N | 111NT0100X | Thermography | 2115 | TN |
NPI | 1285792929 |
---|---|
Provider Name | Dr. Marco E. Castaneda |
First Address | Knoxville, TN 37918-6147 |
Second Address | Knoxville, TN 37918-6147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 22/08/2009 |