Provider Demographics
NPI:1053958769
Name:METZLER, CHANEL LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:CHANEL
Middle Name:LYNN
Last Name:METZLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31205 N COURSE VW
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6177
Mailing Address - Country:US
Mailing Address - Phone:586-945-9600
Mailing Address - Fax:
Practice Address - Street 1:650 S MOUNT JULIET RD
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6490
Practice Address - Country:US
Practice Address - Phone:586-945-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty