Provider Demographics
NPI:1447255815
Name:HARRIS, MATTHEW SCOTT (DC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:SCOTT
Last Name:HARRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 HUGHES XING
Mailing Address - Street 2:STE 140
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1484
Mailing Address - Country:US
Mailing Address - Phone:615-905-9174
Mailing Address - Fax:615-905-9181
Practice Address - Street 1:4000 HUGHES XING
Practice Address - Street 2:STE 140
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1484
Practice Address - Country:US
Practice Address - Phone:615-905-9174
Practice Address - Fax:615-905-9181
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU92525Medicare UPIN