Provider Demographics
NPI:1295030559
Name:ZITT, PATRICK ROLAND (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ROLAND
Last Name:ZITT
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 1:3117 INDIGO LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-1453
Mailing Address - Country:US
Mailing Address - Phone:865-789-2650
Mailing Address - Fax:
Practice Address - Street 1:1645 DOWNTOWN WEST BLVD UNIT 34
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5411
Practice Address - Country:US
Practice Address - Phone:865-789-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2470111NR0400X, 111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician