Provider Demographics
NPI:1801074158
Name:ZOTTOLI, NELIA FE (LMT NCTMB CMT)
Entity type:Individual
Prefix:MRS
First Name:NELIA
Middle Name:FE
Last Name:ZOTTOLI
Suffix:
Gender:F
Credentials:LMT NCTMB CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 OLDE TOWNE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-3145
Mailing Address - Country:US
Mailing Address - Phone:912-897-6603
Mailing Address - Fax:
Practice Address - Street 1:51 JOHNNY MERCER BLVD # C
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-4923
Practice Address - Country:US
Practice Address - Phone:912-897-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT001958172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAMT001958OtherMEDICAL INSURANCE