Provider Demographics
NPI:1962880575
Name:TOTTY CHIROPRACTIC OF HENDERSONVILLE PLLC
Entity type:Organization
Organization Name:TOTTY CHIROPRACTIC OF HENDERSONVILLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BOOE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-864-4247
Mailing Address - Street 1:1047 GLENBROOK WAY STE 112
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-1231
Mailing Address - Country:US
Mailing Address - Phone:615-864-4247
Mailing Address - Fax:
Practice Address - Street 1:1047 GLENBROOK WAY STE 112
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-1231
Practice Address - Country:US
Practice Address - Phone:615-864-4247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty