Provider Demographics
NPI:1225158892
Name:DORIOT, TAMMY JOY (DC)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:JOY
Last Name:DORIOT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TAMMY
Other - Middle Name:JOY
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:5500 POPLAR AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3732
Mailing Address - Country:US
Mailing Address - Phone:901-213-8553
Mailing Address - Fax:
Practice Address - Street 1:5500 POPLAR AVE STE 9
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3732
Practice Address - Country:US
Practice Address - Phone:901-213-8553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN36700631OtherMEDICARE PTAN