Michael Travis Petty in Knoxville - Chiropractor
Michael Travis Petty - NPI 1679578132
Michael Travis Petty is a Chiropractor in Knoxville, Tennessee. Michael Travis Petty practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael Travis Petty is 1679578132. The last update date is 2013-01-13.
Michael Travis Petty's current location address is 10826 Kingston Pike, Knoxville, Tennessee. You can contact this provider via phone number 8656755050 and fax number 8656711321. The mailing address for Michael Travis Petty is 10826 Kingston Pike, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Travis Petty |
|---|---|
| Address | 10826 Kingston Pike, Knoxville, Tennessee |
| Phone Number | 8656755050 |
| Fax Number | 8656711321 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1679578132 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2013-01-13 |
Provider Mailing Address Detail
| Address | 10826 Kingston Pike |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 3793430590 |
| Phone Number | 8656755050 |
| Fax Number | 8656711321 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC511 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1811205 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Travis Petty by the Centers for Medicare & Medicaid Services?
The Michael Travis Petty has been assigned the NPI (National Provider Identifier) 1679578132. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Travis Petty?
The Michael Travis Petty is situated at 10826 Kingston Pike, in the city of Knoxville, state of TN, with the zip code 3793430590.
What is Michael Travis Petty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Travis Petty is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679578132 to Michael Travis Petty?
The Centers for Medicare & Medicaid Services originally issued the 1679578132 to Michael Travis Petty on 2005-06-20.
As of what date was the information pertaining to Michael Travis Petty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Travis Petty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-13.
NPI Number: 1699778829
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