Individual provider · Type 1 NPI
Shane Michael Wilson, DC
Chiropractor · Memphis, TN
NPI number
1982009569
Active
Practice location
938 Wrens Roost Cir, 2
Memphis, TN 38119-0510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1368 (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 1982009569
Shane Michael Wilson, DC's National Provider Identifier is 1982009569, issued on Oct 25, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Memphis, TN. The record was last updated on Oct 25, 2014.