Provider Demographics
NPI:1043354145
Name:TUTTLE, WILLIAM E (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:TUTTLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:E
Other - Last Name:TUTTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:12500 E. U.S. 40 HIGHWAY
Mailing Address - Street 2:SUITE K
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055
Mailing Address - Country:US
Mailing Address - Phone:816-373-5800
Mailing Address - Fax:
Practice Address - Street 1:12500 E. US 40 HWY
Practice Address - Street 2:STE K
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055
Practice Address - Country:US
Practice Address - Phone:816-373-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004581111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation