Individual provider · Type 1 NPI
Aaron Walter Russak, DC
Chiropractor · Chattanooga, TN
NPI number
1174653356
Active
Practice location
1409 Chestnut St
Chattanooga, TN 37402-4420
Mailing address
21 Mabry Pl
Chattanooga, TN 37415-2731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1299 (TN) |
Chiropractor: 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 interrelationship with other body systems.
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About NPI 1174653356
Aaron Walter Russak, DC's National Provider Identifier is 1174653356, issued on Mar 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chattanooga, TN. The record was last updated on Dec 4, 2008.