Provider Demographics
NPI:1780381707
Name:NEETZ, MONICA (DC)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:NEETZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:246 MEIGS DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-6271
Mailing Address - Country:US
Mailing Address - Phone:757-256-6490
Mailing Address - Fax:
Practice Address - Street 1:782 OLD HICKORY BLVD STE 111
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4562
Practice Address - Country:US
Practice Address - Phone:615-953-9310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor