Provider Demographics
NPI:1558757138
Name:MONTELIONE, ERICKA TIFFANY (DC)
Entity Type:Individual
Prefix:DR
First Name:ERICKA
Middle Name:TIFFANY
Last Name:MONTELIONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 RESERVE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2370
Mailing Address - Country:US
Mailing Address - Phone:615-653-4541
Mailing Address - Fax:
Practice Address - Street 1:2040 RESERVE BLVD STE A
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2370
Practice Address - Country:US
Practice Address - Phone:615-653-4541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONE YETOtherSTUDENT
TN2855OtherNOT YET ATTAINED