Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tristar Spine and Sport Chiropractic LLC

Organization Chiropractor · NPI 1629827159

Tristar Spine and Sport Chiropractic LLC is a Chiropractor 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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