Individual
MICHAEL TODD ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
615 E BDWY, LENOIR CITY, TN 37771-3010
(865) 988-9815
(865) 988-9816
Mailing address
615 E BROADWAY ST, LENOIR CITY, TN 37771-3010
(865) 988-9815
(865) 988-9816
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01817
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01817
TN MEDICAL LICENSE
TN
Enumeration date
02/01/2007
Last updated
01/23/2024
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