Individual
DR. PHILLIP OTTO ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
415 N LINDELL ST, MARTIN, TN 38237
(731) 587-4844
(731) 587-6583
Mailing address
415 N LINDELL ST, MARTIN, TN 38237
(731) 587-4844
(731) 587-6583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
650
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117021
BETTER HEALTH
TN
01
—
3121613
BC BN OF TN
TN
05
—
6069101
—
KY
Enumeration date
11/13/2006
Last updated
07/08/2007
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