Provider Demographics
NPI:1740420595
Name:CUTLER, STEVEN C (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:CUTLER
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 1:5 BON AIR RD STE 113
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1135
Mailing Address - Country:US
Mailing Address - Phone:415-924-9474
Mailing Address - Fax:415-924-9479
Practice Address - Street 1:5 BON AIR RD STE 113
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1135
Practice Address - Country:US
Practice Address - Phone:415-924-9474
Practice Address - Fax:415-924-9479
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor