Provider Demographics
NPI:1114006855
Name:FROEHLICH, TODD F (DC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:F
Last Name:FROEHLICH
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 1:440 S LOWE AVE
Mailing Address - Street 2:SUITE#28
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-4735
Mailing Address - Country:US
Mailing Address - Phone:931-520-4040
Mailing Address - Fax:931-520-1006
Practice Address - Street 1:440 S LOWE AVE
Practice Address - Street 2:SUITE#28
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4735
Practice Address - Country:US
Practice Address - Phone:931-520-4040
Practice Address - Fax:931-520-1006
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3144347Other1
TN3971385Medicare ID - Type Unspecified