Provider Demographics
NPI:1417076910
Name:HOUGHTON, RUSTE M (DC)
Entity Type:Individual
Prefix:
First Name:RUSTE
Middle Name:M
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RUSTE
Other - Middle Name:M
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1830 E SHEPHERD AVE APT 108
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5616
Mailing Address - Country:US
Mailing Address - Phone:559-779-4528
Mailing Address - Fax:
Practice Address - Street 1:285 W SHAW AVE STE 102
Practice Address - Street 2:FRESNO
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2654
Practice Address - Country:US
Practice Address - Phone:559-286-5851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor