Provider Demographics
NPI:1700064235
Name:LENOIR CITY CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:LENOIR CITY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RASMUS
Authorized Official - Middle Name:S
Authorized Official - Last Name:DYHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-898-0029
Mailing Address - Street 1:1475 SIMPSON RD W STE 1
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771-6686
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:207 MYERS RD
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-6505
Practice Address - Country:US
Practice Address - Phone:865-988-9088
Practice Address - Fax:865-988-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty