Provider Demographics
NPI:1689768004
Name:HUFFSTUTLER, TERRY D (BS)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:D
Last Name:HUFFSTUTLER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:D
Other - Last Name:MCQUEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:56 DAVE COBB DR
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35962
Mailing Address - Country:US
Mailing Address - Phone:256-894-8081
Mailing Address - Fax:
Practice Address - Street 1:2409 HOMER CLAYTON DR
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-2207
Practice Address - Country:US
Practice Address - Phone:256-582-3203
Practice Address - Fax:256-582-3216
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist