Provider Demographics
NPI:1407152077
Name:SUTTON, CHRISTY LOCK (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LOCK
Last Name:SUTTON
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 1:300 BEARDSLEY LN BLDG E
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4954
Mailing Address - Country:US
Mailing Address - Phone:512-328-4041
Mailing Address - Fax:512-328-5114
Practice Address - Street 1:300 BEARDSLEY LN BLDG E
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-4954
Practice Address - Country:US
Practice Address - Phone:512-328-4041
Practice Address - Fax:512-328-5114
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor