Provider Demographics
NPI:1639238801
Name:JUTTE, SCOTT F (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:F
Last Name:JUTTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 BEASLEY DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2841
Mailing Address - Country:US
Mailing Address - Phone:615-375-8423
Mailing Address - Fax:615-375-8072
Practice Address - Street 1:195 BEASLEY DR
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2841
Practice Address - Country:US
Practice Address - Phone:615-375-8423
Practice Address - Fax:615-375-8072
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN1959111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1083967251OtherGROUP NPI
TN103G700520OtherGROUP MEDICARE PIN
TN103I351318Medicare PIN
TN103G700520OtherGROUP MEDICARE PIN
TNU30665Medicare UPIN