Provider Demographics
NPI:1104997626
Name:MARSH, JOSEPH SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SCOTT
Last Name:MARSH
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 1:424 HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-3915
Mailing Address - Country:US
Mailing Address - Phone:865-681-2222
Mailing Address - Fax:865-381-0441
Practice Address - Street 1:424 HOME AVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-3915
Practice Address - Country:US
Practice Address - Phone:865-681-2222
Practice Address - Fax:865-381-0441
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0372111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor