Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tristar Spine and Sport Chiropractic LLC

Organization Chiropractor · NPI 1629827159

Tristar Spine and Sport Chiropractic LLC provides Chiropractor services in Bristol, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

126 Mlk Jr Blvd Ste A
Bristol, TN 37620-4078
Phone: (423) 764-2663
Fax: (423) 793-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1629827159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thaddeus Keklak — Owner, Chiropractor · (423) 360-7366
NPI enumeratedMay 16, 2024
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address126 Mlk Jr Blvd Ste A, Bristol, TN 37620-4078

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