Provider Demographics
NPI:1487985867
Name:TOTTY, ELIZABETH SHAMMAH (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SHAMMAH
Last Name:TOTTY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:SHAMMAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:541 N. MT. JULIET RD
Mailing Address - Street 2:SUITE 2101
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122
Mailing Address - Country:US
Mailing Address - Phone:615-758-7101
Mailing Address - Fax:615-758-7102
Practice Address - Street 1:541 N. MT. JULIET RD
Practice Address - Street 2:SUITE 2101
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122
Practice Address - Country:US
Practice Address - Phone:615-758-7101
Practice Address - Fax:615-758-7102
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2410111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation