Healthcare Provider Details

I. General information

NPI: 1447277181
Provider Name (Legal Business Name): TOTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S MOORE RD STE B
CHATTANOOGA TN
37412-2987
US

IV. Provider business mailing address

400 S MOORE RD STE E
CHATTANOOGA TN
37412-2987
US

V. Phone/Fax

Practice location:
  • Phone: 423-894-4771
  • Fax: 423-894-9332
Mailing address:
  • Phone: 423-551-3882
  • Fax: 423-551-3185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DOMINICK JOSEPH TOMASINO
Title or Position: PARTNER
Credential: D.C.
Phone: 423-265-2225