Provider Demographics
NPI:1467991166
Name:HUNTER, CAITLYN (RD)
Entity Type:Individual
Prefix:MRS
First Name:CAITLYN
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:
Other - Last Name:COTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:5077 ELKIN ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-2944
Mailing Address - Country:US
Mailing Address - Phone:248-917-2895
Mailing Address - Fax:
Practice Address - Street 1:5077 ELKIN ST
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-2944
Practice Address - Country:US
Practice Address - Phone:248-917-2895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2020-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI86067968133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered