Provider Demographics
NPI:1700520830
Name:HUTTO, RACHEL CHRISTINE (MS, RD, LD, CNSC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:HUTTO
Suffix:
Gender:F
Credentials:MS, RD, LD, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9211 GARRISON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-7897
Mailing Address - Country:US
Mailing Address - Phone:903-436-1313
Mailing Address - Fax:
Practice Address - Street 1:9211 GARRISON CREEK DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-7897
Practice Address - Country:US
Practice Address - Phone:903-436-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84723133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered