Provider Demographics
NPI:1699508465
Name:LITTELL, THOMAS ELLIOTT (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ELLIOTT
Last Name:LITTELL
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 1:3806 COUNTRY CLUB LN STE B
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-4134
Mailing Address - Country:US
Mailing Address - Phone:308-224-3336
Mailing Address - Fax:
Practice Address - Street 1:3806 COUNTRY CLUB LN STE B
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-4134
Practice Address - Country:US
Practice Address - Phone:308-224-3336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2196111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor