Provider Demographics
NPI:1780154146
Name:SHIFLET, TOMIE LEE (DC)
Entity type:Individual
Prefix:DR
First Name:TOMIE
Middle Name:LEE
Last Name:SHIFLET
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:PO BOX 2864
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35662-2864
Mailing Address - Country:US
Mailing Address - Phone:256-383-5772
Mailing Address - Fax:256-383-5773
Practice Address - Street 1:2410 2ND ST
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-1265
Practice Address - Country:US
Practice Address - Phone:256-383-5772
Practice Address - Fax:256-383-5773
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor