Provider Demographics
NPI:1134487606
Name:TOTTEN, ARTHUR AVERY (LMT)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:AVERY
Last Name:TOTTEN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 DELAWARE AVE SW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3905
Mailing Address - Country:US
Mailing Address - Phone:202-863-1288
Mailing Address - Fax:
Practice Address - Street 1:1245 DELAWARE AVE SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3905
Practice Address - Country:US
Practice Address - Phone:202-863-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMT0559172M00000X
MDM04520172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMT0559OtherM04520 MARYLAND