Provider Demographics
NPI:1922270206
Name:HUTTI, GREGORY MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:MICHAEL
Last Name:HUTTI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:GREGORY
Other - Middle Name:M
Other - Last Name:HUTTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:5083 MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2771
Mailing Address - Country:US
Mailing Address - Phone:615-302-2798
Mailing Address - Fax:
Practice Address - Street 1:5083 MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2771
Practice Address - Country:US
Practice Address - Phone:615-302-2798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN262022412111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor