Provider Demographics
NPI:1154569150
Name:FLYNN, CATHERINE R (DC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:R
Last Name:FLYNN
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 1:802 MOUNTAIN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-4822
Mailing Address - Country:US
Mailing Address - Phone:865-681-4111
Mailing Address - Fax:
Practice Address - Street 1:802 MOUNTAIN VIEW AVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803-4822
Practice Address - Country:US
Practice Address - Phone:865-681-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor