Provider Demographics
NPI:1336873025
Name:TONNOS, MATTHEW MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:MICHAEL
Last Name:TONNOS
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 1:11915 KINGSTON PIKE STE 100
Mailing Address - Street 2:
Mailing Address - City:FARRAGUT
Mailing Address - State:TN
Mailing Address - Zip Code:37934-4843
Mailing Address - Country:US
Mailing Address - Phone:865-986-8088
Mailing Address - Fax:865-986-5400
Practice Address - Street 1:11915 KINGSTON PIKE STE 100
Practice Address - Street 2:
Practice Address - City:FARRAGUT
Practice Address - State:TN
Practice Address - Zip Code:37934-4843
Practice Address - Country:US
Practice Address - Phone:865-986-8088
Practice Address - Fax:865-986-5400
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor