Provider Demographics
NPI:1225619489
Name:HAYDEN, ADAM THOMAS (DC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:THOMAS
Last Name:HAYDEN
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 1:3725 HIGHWAY 196 S STE C
Mailing Address - Street 2:
Mailing Address - City:PIPERTON
Mailing Address - State:TN
Mailing Address - Zip Code:38017-5298
Mailing Address - Country:US
Mailing Address - Phone:901-457-7059
Mailing Address - Fax:
Practice Address - Street 1:3725 HIGHWAY 196 S STE C
Practice Address - Street 2:
Practice Address - City:PIPERTON
Practice Address - State:TN
Practice Address - Zip Code:38017-5298
Practice Address - Country:US
Practice Address - Phone:901-457-7059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3778111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor