LIFE SOURCE CREATING WELLNESS CTR INC
NPI 1073754032
Chiropractor in Dickson, TN

Active since March 20, 2009
491 HENSLEE DR, DICKSON, TN 37055(615) 441-6115(615) 441-5154 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Life Source Creating Wellness Ctr Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE CREATING WELLNESS CTR INC (NPI 1073754032) is a healthcare organization registered as a chiropractor in Dickson, Tennessee and active in the NPI registry since March 2009. The organization lists Chad M Upchurch, Owner, as its authorized official.

NPPES Registry Identity

NPI1073754032
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE SOURCE CREATING WELLNESS CTR INC
Location Address491 HENSLEE DRDickson, TN 37055-2166
Mailing Address491 Henslee DrDickson, TN 37055-2166 · (615) 441-6115 · Fax (615) 441-5154
Fax(615) 441-5154
Organization SubpartNo
Authorized OfficialChad M UpchurchOwner · (615) 441-6115
Enumeration DateMarch 20, 2009
Last NPPES UpdateAugust 3, 2016
NPI 1073754032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TN · 1444
Definition

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.

491 HENSLEE DR, Dickson, TN 37055

Other Identifiers 1

Medicare UPINU69145TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
491 HENSLEE DR
DICKSON, TN 37055
Chiropractor
491 HENSLEE DR
DICKSON, TN 37055
Chiropractor
491 HENSLEE DR
DICKSON, TN 37055
Physical Therapist
491 HENSLEE DR
DICKSON, TN 37055
Family Medicine
491 HENSLEE DR
DICKSON, TN 37055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Source Creating Wellness Ctr Inc's NPI number?

The NPI number for Life Source Creating Wellness Ctr Inc is 1073754032. It was assigned to this organization in the NPPES registry on March 20, 2009.

Where is Life Source Creating Wellness Ctr Inc located?

Life Source Creating Wellness Ctr Inc is located at 491 Henslee Dr, Dickson, TN 37055. The listed phone number is (615) 441-6115.

What is Life Source Creating Wellness Ctr Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Life Source Creating Wellness Ctr Inc was last updated on August 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.